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General NPI Number Information
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NPI Number | 1891569133
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Entity Type | Individual
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Provider Name | TAYLOR N WINGARD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 2000 S MAYS ST STE 201
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City | ROUND ROCK
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State | TX
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Zip | 78664-7580
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Country | US
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Telephone | 512-244-4272
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Fax | 512-244-2895
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Provider Business Mailing Address
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Address Line | 101 W LOUIS HENNA BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78728-1203
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Country | US
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Telephone | 512-244-5993
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Fax | 512-593-4444
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1141256
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1141256
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License Number State | TX
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