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NPI 1831187384

NPI 1831187384 : MICHELLE C TAYLOR NP : STUART, FL

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General NPI Number Information
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    NPI Number           |    1831187384
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE C TAYLOR NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/10/2005
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    Last Update Date     |    12/15/2022
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Provider Practice Location Address
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    Address Line         |    200 SE HOSPITAL AVE 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34994-2346
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    Country              |    US
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    Telephone            |    772-223-4978
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    Fax                  |    772-223-2847
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Provider Business Mailing Address
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    Address Line         |    PO BOX 417 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34995-0417
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    Country              |    US
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    Telephone            |    772-223-2832
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    Fax                  |    772-288-5834
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    APRN9320203
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    UP003514U
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    APRN9320203
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    APRN9320203
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    License Number State |    FL
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