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General NPI Number Information
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NPI Number | 1669776761
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Entity Type | Individual
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Provider Name | ARIELYA TAYLOR BINN AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1304 SPRINGDALE DR
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City | CLINTON
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State | SC
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Zip | 29325-7226
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Country | US
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Telephone | 864-833-6287
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Fax | 704-887-6450
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Provider Business Mailing Address
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Address Line | PO BOX 470408
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City | CHARLOTTE
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State | NC
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Zip | 28247-0408
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Country | US
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Telephone | 704-375-0100
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Fax | 704-887-6450
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 21386
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License Number State | SC
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