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General NPI Number Information
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NPI Number | 1275125387
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Entity Type | Individual
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Provider Name | TAYLOR GABRIELLE LUNN CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 118 FAIRFIELD DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3107
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Country | US
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Telephone | 662-534-0898
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Fax | 662-534-8905
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Provider Business Mailing Address
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Address Line | 118 FAIRFIELD DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3107
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Country | US
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Telephone | 662-534-0898
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Fax | 662-534-8905
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 906366
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License Number State | MS
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