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General NPI Number Information
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NPI Number | 1497427520
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Entity Type | Individual
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Provider Name | TARYN BODEN CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7 COURT ST
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City | BELMONT
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State | NY
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Zip | 14813-1044
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Country | US
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Telephone | 585-268-9654
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Fax |
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Provider Business Mailing Address
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Address Line | 7 COURT ST
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City | BELMONT
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State | NY
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Zip | 14813-1044
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Country | US
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Telephone | 585-268-9654
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP024596
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F357432-01
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License Number State | NY
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