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General NPI Number Information
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NPI Number | 1174240634
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Entity Type | Individual
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Provider Name | TARIA BOOKER LPCA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 850 BYPASS RD
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City | WINCHESTER
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State | KY
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Zip | 40391-1033
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Country | US
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Telephone | 859-398-3725
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Fax |
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Provider Business Mailing Address
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Address Line | 728 LINDEN CT
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City | MT STERLING
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State | KY
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Zip | 40353-8714
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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 |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 275233
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License Number State | KY
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