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General NPI Number Information
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NPI Number | 1851904973
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Entity Type | Individual
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Provider Name | TAYLOR ANNE VANDERVORT RN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1080 N GREEN ST STE 200
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City | BROWNSBURG
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State | IN
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Zip | 46112-2417
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Country | US
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Telephone | 317-799-0178
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Fax | 317-799-0180
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR STE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4300
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Country | US
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Telephone | 317-837-5566
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Fax | 317-837-5567
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71011863A
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License Number State | IN
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