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General NPI Number Information
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NPI Number | 1528780343
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Entity Type | Individual
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Provider Name | TAYLOR ROBERTS APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 5401 ELLSWORTH RD STE 109
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City | FORT SMITH
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State | AR
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Zip | 72903-3219
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Country | US
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Telephone | 479-314-8917
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Fax | 479-452-2058
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Provider Business Mailing Address
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Address Line | 5401 ELLSWORTH RD STE 109
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City | FORT SMITH
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State | AR
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Zip | 72903-3219
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Country | US
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Telephone | 479-314-8917
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Fax | 479-452-2058
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221923
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License Number State | AR
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