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General NPI Number Information
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NPI Number | 1235135567
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Entity Type | Individual
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Provider Name | LISA G TAYLOR RN, CNS, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 135 N FALLING LEAVES DR
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City | WAXAHACHIE
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State | TX
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Zip | 75167-9045
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Country | US
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Telephone | 214-564-6354
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Fax | 972-938-1681
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Provider Business Mailing Address
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Address Line | 135 N FALLING LEAVES DR
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City | WAXAHACHIE
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State | TX
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Zip | 75167-9045
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Country | US
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Telephone | 972-938-1674
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Fax | 972-938-1681
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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 | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number | AP106105
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP106105
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License Number State | TX
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