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NPI Code Detail

MEDICARE: MISS ALLISON ELIZABETH MORRIS TAYLOR

MEDICARE: MISS ALLISON ELIZABETH MORRIS TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1235751074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON ELIZABETH MORRIS TAYLOR
Provider Business Mailing Address
First Line : 5120 HUNTERS MEADOW PL
Second Line :
City : HENRICO
State : VA
Zip : 23231-7668
Country : US
Telephone Number : 804-401-0702
Fax Number :
Provider Business Practice Location Address
First Line : 26317 WASHINGTON ST
Second Line :
City : NORTH DINWIDDIE
State : VA
Zip : 23803-2727
Country : US
Telephone Number : 804-524-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2020
Last Update Date : 05/14/2020

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