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General NPI Number Information
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NPI Number | 1225682420
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Entity Type | Individual
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Provider Name | VALERIE TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 362
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6400
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Country | US
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Telephone | 954-499-4211
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Fax | 954-499-4211
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Provider Business Mailing Address
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Address Line | 3300 NW 40TH CT
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33309-4931
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Country | US
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Telephone | 305-896-4741
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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 | PN5172829
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License Number State | FL
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