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General NPI Number Information
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NPI Number | 1053945485
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Entity Type | Individual
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Provider Name | TAYLOR NICOLE BARTON FRONZAGLIO LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 1714 BOARDMAN POLAND RD STE 10
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-1957
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Country | US
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Telephone | 330-568-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 TULANE AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-4227
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Country | US
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Telephone | 330-506-8161
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2103076
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | C.1902095-TRNE
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2303381-SUPV
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License Number State | OH
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