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General NPI Number Information
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NPI Number | 1952959215
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Entity Type | Individual
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Provider Name | ROBERT EVAN TAYLOR APRN
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Gender | Male
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 10/29/2023
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Provider Practice Location Address
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Address Line | 5334 ASPEN ST
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4001
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Country | US
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Telephone | 727-848-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 VIKING DR
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City | HOLIDAY
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State | FL
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Zip | 34691-5170
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Country | US
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Telephone | 208-413-4162
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11002886
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License Number State | FL
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