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General NPI Number Information
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NPI Number | 1023610771
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Entity Type | Individual
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Provider Name | LINDSAY TAYLOR DE URQUIDI LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3332 BRIDGES ST STE A
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-3296
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Country | US
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Telephone | 252-726-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 100 APACHE TRL
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City | HAVELOCK
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State | NC
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Zip | 28532-2919
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Country | US
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Telephone | 706-936-1965
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2488
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License Number State | NC
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