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General NPI Number Information
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NPI Number | 1689589160
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Entity Type | Individual
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Provider Name | TAYLOR HEADLOUGH CNM, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 918 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-8685
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Country | US
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Telephone | 480-647-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 362 E WELDON AVE
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City | PHOENIX
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State | AZ
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Zip | 85012-2005
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Country | US
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Telephone | 480-309-4345
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 342180
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License Number State | AZ
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