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General NPI Number Information
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NPI Number | 1902621261
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Entity Type | Individual
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Provider Name | TAYLOR CREE MCDONNOUGH
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 800-432-6837
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Fax |
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Provider Business Mailing Address
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Address Line | 21014 NE 32ND AVE
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City | AVENTURA
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State | FL
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Zip | 33180-3672
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Country | US
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Telephone | 304-365-3155
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 11033496
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License Number State | FL
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