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General NPI Number Information
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NPI Number | 1063042067
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Entity Type | Individual
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Provider Name | TAYLOR LAUREN SWEET
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Gender | Female
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Dates
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Enumeration Date | 01/19/2020
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Last Update Date | 01/19/2020
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Provider Practice Location Address
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Address Line | 628 E PINE ST STE B
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City | ORLANDO
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State | FL
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Zip | 32801-6605
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Country | US
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Telephone | 407-967-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 477 HIDDEN MEADOWS LOOP APT 103
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City | FERN PARK
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State | FL
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Zip | 32730-2515
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Country | US
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Telephone | 863-662-7431
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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 | IMH18583
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License Number State | FL
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