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General NPI Number Information
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NPI Number | 1548098973
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Entity Type | Individual
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Provider Name | TAYLOR ANNE WILSON DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 510 SOUTH 42ND ST
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City | OMAHA
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State | NE
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Zip | 68131
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Country | US
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Telephone | 402-552-6007
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Fax |
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Provider Business Mailing Address
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Address Line | 1167 W 6TH ST APT 5203
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City | PAPILLION
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State | NE
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Zip | 68046-3194
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Country | US
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Telephone | 402-968-5571
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 115491
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License Number State | NE
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