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General NPI Number Information
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NPI Number | 1194181685
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Entity Type | Individual
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Provider Name | DASHAUNA TAYLOR LPN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 1913 HOPKINS ROAD APT. B
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City | RICHMOND
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State | VA
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Zip | 23224
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Country | US
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Telephone | 804-412-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 HOPKINS ROAD APT. B
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City | RICHMOND
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State | VA
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Zip | 23224
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Country | US
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Telephone | 804-412-5164
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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 | 0002075697
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 025.0102843
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 35370
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License Number State | WV
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