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General NPI Number Information
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NPI Number | 1265833784
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Entity Type | Individual
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Provider Name | TAYLOR BOYD COWAN MA
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Gender | Male
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 228 S WASHINGTON ST STE 310
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5404
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Country | US
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Telephone | 917-841-5184
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Fax |
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Provider Business Mailing Address
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Address Line | 110 PLEASANT ST NW
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City | VIENNA
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State | VA
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Zip | 22180-4447
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Country | US
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Telephone | 703-935-0058
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60469022
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60670972
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MC60296135
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License Number State | WA
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