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General NPI Number Information
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NPI Number | 1215737580
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Entity Type | Individual
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Provider Name | LENETTA TAYLOR PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 20101 CENTRAL BLVD
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City | LAND O LAKES
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State | FL
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Zip | 34637-7002
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Country | US
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Telephone | 813-996-6982
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 OAK RANCH HERITAGE PL
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City | THONOTOSASSA
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State | FL
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Zip | 33592-3120
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Country | US
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Telephone | 813-770-4485
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11038236
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License Number State | FL
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