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General NPI Number Information
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NPI Number | 1578448718
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Entity Type | Individual
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Provider Name | TAYLOR JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1185 N 1000 W
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City | LINTON
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State | IN
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Zip | 47441-5282
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Country | US
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Telephone | 812-847-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 9085 S FRY ST
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City | JASONVILLE
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State | IN
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Zip | 47438-7005
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Country | US
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Telephone | 812-239-6742
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 28252713A
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License Number State | IN
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