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NPI Code Detail

MEDICARE: RACHAEL LAVON TAYLOR

MEDICARE:   RACHAEL LAVON 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1235881913
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL LAVON TAYLOR
Provider Business Mailing Address
First Line : 10505 BAILEY DR
Second Line :
City : CHELTENHAM
State : MD
Zip : 20623-1113
Country : US
Telephone Number : 301-204-7415
Fax Number :
Provider Business Practice Location Address
First Line : 7105 EMMA CT
Second Line :
City : FT WASHINGTON
State : MD
Zip : 20744-1146
Country : US
Telephone Number : 301-204-7415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2022
Last Update Date : 01/24/2022

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Directions to “ RACHAEL LAVON TAYLOR ” Practice Location

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