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General NPI Number Information
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NPI Number | 1609707231
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Entity Type | Individual
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Provider Name | NINA WYNETTE TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 05/25/2026
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Last Update Date | 05/25/2026
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Provider Practice Location Address
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Address Line | 2165 S ALBERT ST
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City | LUTCHER
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State | LA
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Zip | 70071-5237
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Country | US
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Telephone | 985-233-6313
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2276
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City | RESERVE
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State | LA
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Zip | 70084-2276
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Country | US
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Telephone | 985-233-5353
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN140452
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License Number State | LA
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