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General NPI Number Information
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NPI Number | 1073998738
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Entity Type | Organization
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Legal Business Name | TAYLOR & ADAMS LLC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 5445 LA SIERRA DR STE 200
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City | DALLAS
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State | TX
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Zip | 75231-4139
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Country | US
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Telephone | 214-706-0619
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Fax |
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Provider Business Mailing Address
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Address Line | 5445 LA SIERRA DR STE 200
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City | DALLAS
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State | TX
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Zip | 75231-4139
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Country | US
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Telephone | 214-706-0619
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Fax |
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Authorized Official
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Title or Position | THERAPIST SUPERVISOR
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Name | ANGELA TAYLOR
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Credential | LPC-S
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Telephone | 214-706-0619
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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 | 70390
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License Number State | TX
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