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General NPI Number Information
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NPI Number | 1144091703
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Entity Type | Individual
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Provider Name | MATTHEW A TAYLOR APRN-CNP
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Gender | Male
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 1670 UPHAM DR FL 3
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City | COLUMBUS
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State | OH
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Zip | 43210-1250
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Country | US
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Telephone | 614-293-9600
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Fax | 614-293-1456
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-9600
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Fax | 614-293-1456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1451278
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.519895
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0036679
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0036679
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License Number State | OH
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