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General NPI Number Information
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NPI Number | 1023888484
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Entity Type | Organization
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Legal Business Name | TAYLORED COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 137 LAXTON RD STE 200
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City | LYNCHBURG
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State | VA
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Zip | 24502-5294
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Country | US
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Telephone | 434-604-0134
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Fax | 434-300-5558
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Provider Business Mailing Address
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Address Line | 137 LAXTON RD STE 200
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City | LYNCHBURG
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State | VA
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Zip | 24502-5294
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Country | US
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Telephone | 434-604-0134
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Fax | 434-300-5558
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Authorized Official
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Title or Position | MANAGER
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Name | MR. THOMAS ANDREW TAYLOR JR.
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Credential |
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Telephone | 434-604-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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