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General NPI Number Information
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NPI Number | 1962383448
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Entity Type | Individual
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Provider Name | JENNIFER AMOS TAYLOR FNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1100 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2708
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Country | US
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Telephone | 843-669-6694
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Fax | 843-669-2500
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Provider Business Mailing Address
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Address Line | 1032 LEFT BANK DR
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City | FLORENCE
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State | SC
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Zip | 29501-8432
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Country | US
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Telephone | 843-669-6694
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Fax | 843-669-2500
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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 | 30947
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License Number State | SC
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