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General NPI Number Information
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NPI Number | 1336743848
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Entity Type | Individual
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Provider Name | KRISTEN R TAYLOR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 150 MADISON RD
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City | CULPEPER
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State | VA
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Zip | 22701-3405
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Country | US
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Telephone | 540-825-8322
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Fax | 540-829-8529
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | RAPIDAN
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State | VA
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Zip | 22733-0175
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Country | US
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Telephone | 540-424-6259
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202209236
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License Number State | VA
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