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General NPI Number Information
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NPI Number | 1134911274
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Entity Type | Organization
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Legal Business Name | TAYLOR WEGMANN LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 39 E MAIN ST
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City | MARLTON
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State | NJ
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Zip | 08053-2154
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Country | US
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Telephone | 856-409-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 426 CHANTICLEER
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR WEGMANN
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Credential | LCSW
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Telephone | 609-922-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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