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General NPI Number Information
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NPI Number | 1295852457
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Entity Type | Individual
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Provider Name | CYNTHIA TAYLOR REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 2500 MCCLELLAN AVENUE SUITE 300
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City | PENNSAUKEN
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State | NJ
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Zip | 08109
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Country | US
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Telephone | 856-361-1100
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Fax | 856-488-1450
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Provider Business Mailing Address
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Address Line | 2500 MCCLELLAN BLVD
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4613
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Country | US
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Telephone | 856-745-0572
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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 | 26NP05035800
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License Number State | NJ
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