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General NPI Number Information
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NPI Number | 1558015131
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Entity Type | Individual
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Provider Name | AMY JEAN TAYLOR CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 1815 HAND AVE
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City | BAY MINETTE
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State | AL
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Zip | 36507-4110
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Country | US
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Telephone | 251-937-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 10340 SHETLAND DR
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City | SPANISH FORT
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State | AL
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Zip | 36527-5942
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Country | US
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Telephone | 251-359-1420
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-155116
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License Number State | AL
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