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General NPI Number Information
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NPI Number | 1942114004
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Entity Type | Individual
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Provider Name | FELISSA DIANNE TAYLOR L. AC.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2500 W WILLIAM CANNON DR # 607A1&A2
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City | AUSTIN
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State | TX
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Zip | 78745-5257
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Country | US
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Telephone | 512-567-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S 1ST ST APT 216
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City | AUSTIN
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State | TX
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Zip | 78704-1102
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Country | US
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Telephone | 512-567-1321
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACTEMP
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License Number State | TX
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