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General NPI Number Information
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NPI Number | 1457593931
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Entity Type | Individual
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Provider Name | TAYLOR SCOTT CLEMENT C.P.N.P
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 7714 CONNER RD
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City | POWELL
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State | TN
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Zip | 37849-3559
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Country | US
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Telephone | 865-212-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 814 HAMMERSTONE LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-4395
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Country | US
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Telephone | 865-237-5964
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0000014064
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License Number State | TN
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