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General NPI Number Information
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NPI Number | 1164712402
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Entity Type | Individual
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Provider Name | CYNTHIA KIM TAYLOR LPN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 15778 W YUMA RD
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City | GOODYEAR
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State | AZ
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Zip | 85338-3358
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Country | US
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Telephone | 623-932-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 N 83RD AVE APT 1204
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City | GLENDALE
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State | AZ
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Zip | 85303-2712
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Country | US
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Telephone | 623-336-9183
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Fax |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP041089
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License Number State | AZ
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