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General NPI Number Information
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NPI Number | 1609600022
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Entity Type | Individual
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Provider Name | TAYLOR M KINMANN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2601 LAKE DR STE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6689
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Country | US
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Telephone | 919-783-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 404 W SYCAMORE ST
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City | ZEBULON
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State | NC
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Zip | 27597-2533
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Country | US
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Telephone | 919-841-7727
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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 | 5020685
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License Number State | NC
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