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General NPI Number Information
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NPI Number | 1689569535
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Entity Type | Individual
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Provider Name | TAYLOR JENSEN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 640 E 700 S STE 10C
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City | SAINT GEORGE
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State | UT
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Zip | 84770-4036
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Country | US
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Telephone | 435-669-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 1887 POINT DR
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City | ST GEORGE
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State | UT
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Zip | 84790-6790
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Country | US
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Telephone | 435-668-5643
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7182974405
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License Number State | UT
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