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General NPI Number Information
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NPI Number | 1093145799
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Entity Type | Individual
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Provider Name | SARA LYNN TAYLOR M.S. ED, BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 5127 WEBB ST
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2525
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Country | US
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Telephone | 508-266-1836
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Fax |
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Provider Business Mailing Address
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Address Line | 5127 WEBB ST
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2525
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Country | US
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Telephone | 508-266-1836
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13592
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License Number State | MA
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