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General NPI Number Information
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NPI Number | 1861092017
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN TAYLOR R.PH.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 2001 E 151ST ST
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City | CARMEL
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State | IN
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Zip | 46033-7737
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Country | US
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Telephone | 317-844-9064
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Fax |
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Provider Business Mailing Address
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Address Line | 8933 SOMMERWOOD DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4731
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Country | US
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Telephone | 317-656-7011
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26018684A
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License Number State | IN
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