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General NPI Number Information
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NPI Number | 1154100287
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Entity Type | Individual
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Provider Name | TAYLOR G KINGERY
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 471 SW BELAIR DR
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City | CLATSKANIE
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State | OR
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Zip | 97016-7415
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Country | US
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Telephone | 800-244-4870
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Fax |
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Provider Business Mailing Address
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Address Line | 2370 GABLE RD
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City | SAINT HELENS
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State | OR
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Zip | 97051-2913
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Country | US
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Telephone | 800-244-4870
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61490963
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License Number State | WA
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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 |
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License Number State | OR
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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 |
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License Number State | OR
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