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General NPI Number Information
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NPI Number | 1952754814
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Entity Type | Individual
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Provider Name | TAYLOR SIOBHAN STEWART FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 8200 PERRIN BEITEL RD SUITE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1547
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Country | US
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Telephone | 210-967-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 13215 LOMA VALLEJO
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City | SAN ANTONIO
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State | TX
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Zip | 78233-2418
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Country | US
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Telephone | 210-854-5473
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP130893
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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 | AP130893
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License Number State | TX
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