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General NPI Number Information
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NPI Number | 1548451131
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Entity Type | Individual
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Provider Name | KAREN KAYE TAYMORE APN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 7 HALSTEAD CIR STE 101
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City | ROGERS
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State | AR
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Zip | 72756-3185
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Country | US
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Telephone | 479-633-8220
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Fax | 479-340-1088
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Provider Business Mailing Address
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Address Line | 7 HALSTED CIR STE 101
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City | ROGERS
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State | AR
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Zip | 72756-3185
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Country | US
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Telephone | 479-633-8220
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Fax | 479-340-1088
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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 | S01091
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License Number State | AR
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