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General NPI Number Information
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NPI Number | 1679815088
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Entity Type | Individual
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Provider Name | JESSICA J TAGGART ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2013
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4309 E 50TH TER STE 200
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City | KANSAS CITY
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State | MO
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Zip | 64130-8500
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Country | US
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Telephone | 816-561-8784
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Fax | 877-286-3519
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Provider Business Mailing Address
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Address Line | PO BOX 18412
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City | PALATINE
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State | IL
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Zip | 60055-8412
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Country | US
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Telephone | 866-525-5484
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2016027451
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License Number State | MO
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