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General NPI Number Information
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NPI Number | 1609689298
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Entity Type | Individual
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Provider Name | TAYLOR ROSE DAVIS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 671 NEWTOWN YARDLEY RD
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City | NEWTOWN
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State | PA
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Zip | 18940-1716
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Country | US
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Telephone | 215-968-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 91 JOAN CT
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City | LEVITTOWN
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State | PA
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Zip | 19057-3615
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Country | US
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Telephone | 215-478-2904
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP031397
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License Number State | PA
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