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General NPI Number Information
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NPI Number | 1801530514
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Entity Type | Individual
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Provider Name | MILDRED JEAN TAYLOR APRN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 37 HWY 343 37 HWY 343
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City | NEON
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State | KY
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Zip | 41840-4184
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Country | US
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Telephone | 606-794-3277
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Fax | 606-832-0194
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Provider Business Mailing Address
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Address Line | 1207 HIGHWAY 805
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City | NEON
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State | KY
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Zip | 41840-9051
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Country | US
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Telephone | 606-634-7857
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3017623
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License Number State | KY
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