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General NPI Number Information
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NPI Number | 1609942432
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Entity Type | Individual
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Provider Name | DIANA LEE TAYLOR RNP, PHD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2166 HAYES ST SUITE 104
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1033
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Country | US
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Telephone | 415-379-7800
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Fax | 415-379-7804
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Provider Business Mailing Address
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Address Line | 640 DAVIS ST APT. 13
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-1946
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Country | US
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Telephone | 415-834-1363
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Fax | 415-834-9549
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 253585
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License Number State | CA
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