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General NPI Number Information
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NPI Number | 1861975856
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Entity Type | Individual
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Provider Name | MARNA TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 23700 ORCHARD LAKE RD STE M
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2559
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Country | US
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Telephone | 248-482-6222
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Fax | 248-987-2958
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Provider Business Mailing Address
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Address Line | 23700 ORCHARD LAKE RD STE M
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2559
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Country | US
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Telephone | 248-482-6222
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Fax | 248-987-2958
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704180803
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704180803
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License Number State | MI
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