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General NPI Number Information
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NPI Number | 1942925334
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Entity Type | Individual
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Provider Name | TAYLOR ANN DEAL MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 2560 N HEALTHY WAY
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City | FREMONT
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State | NE
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Zip | 68025-2315
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Country | US
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Telephone | 402-941-7850
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Fax | 402-815-9181
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Provider Business Mailing Address
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Address Line | 825 S 169TH ST
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City | OMAHA
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State | NE
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Zip | 68118-9300
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Country | US
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Telephone | 402-941-7850
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Fax | 402-815-9181
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.1671325
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License Number State | CO
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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 | 115436
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License Number State | NE
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