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General NPI Number Information
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NPI Number | 1033702022
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Entity Type | Individual
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Provider Name | TAYLOR ALEXANDRIA LARSEN LPC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 10964 ABBEYGLEN CT
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City | HASLET
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State | TX
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Zip | 76052-3009
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Country | US
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Telephone | 480-580-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 10964 ABBEYGLEN CT
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City | HASLET
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State | TX
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Zip | 76052-3009
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Country | US
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Telephone | 480-580-0616
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 80503
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80503
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80503
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License Number State | TX
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