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General NPI Number Information
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NPI Number | 1861152019
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Entity Type | Individual
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Provider Name | TAYLOR LYNN WILSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 04/30/2023
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Provider Practice Location Address
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Address Line | 180 FORT COUCH RD STE 304
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City | PITTSBURGH
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State | PA
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Zip | 15241-1041
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Country | US
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Telephone | 412-831-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 180 FORT COUCH RD
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City | PITTSBURGH
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State | PA
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Zip | 15241-1041
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Country | US
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Telephone | 412-831-0355
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP024831
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP024831
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License Number State | PA
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