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General NPI Number Information
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NPI Number | 1730016551
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Entity Type | Individual
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Provider Name | TAYLOR DALTON
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Gender | Female
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 150 E SWAN ST
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City | CENTERVILLE
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State | TN
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Zip | 37033-1446
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Country | US
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Telephone | 931-729-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 9380 HI LO RD
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City | BON AQUA
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State | TN
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Zip | 37025-1520
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 238980
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License Number State | TN
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