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General NPI Number Information
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NPI Number | 1972302115
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Entity Type | Individual
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Provider Name | TAYLOR BRYAN STEVENS DNP
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 11801 SOUTH FWY
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City | BURLESON
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State | TX
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Zip | 76028-7021
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Country | US
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Telephone | 817-293-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WALLS DR
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City | CLEBURNE
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State | TX
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Zip | 76033-4007
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Country | US
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Telephone | 817-556-5548
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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 | 1193829
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 924739
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License Number State | TX
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