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General NPI Number Information
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NPI Number | 1225291297
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Entity Type | Individual
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Provider Name | MAHEALANI LEIGH TAYLOR NP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2314 PANSY ST SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3803
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Country | US
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Telephone | 256-715-7483
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Fax | 256-715-7414
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Provider Business Mailing Address
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Address Line | PO BOX 11407
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City | BIRMINGHAM
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State | AL
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Zip | 35246-0116
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Country | US
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Telephone | 256-533-7064
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Fax | 256-704-0115
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-075981
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License Number State | AL
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