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General NPI Number Information
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NPI Number | 1053131342
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Entity Type | Individual
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Provider Name | TAYLOR ELISE SCHWARTZ LMSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 9891 BROKEN LAND PKWY STE 210
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City | COLUMBIA
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State | MD
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Zip | 21046-3001
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Country | US
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Telephone | 667-220-7868
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Fax |
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Provider Business Mailing Address
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Address Line | 11730 LIGHTFALL CT
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City | COLUMBIA
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State | MD
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Zip | 21044-4351
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Country | US
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Telephone | 410-428-1459
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG20003053
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License Number State | DC
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