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General NPI Number Information
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NPI Number | 1194205518
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Entity Type | Individual
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Provider Name | LINDSAY BETH TAYLOR MT-BC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 520 EASTBROOK DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1135
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Country | US
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Telephone | 434-964-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 WATERS MILL PT
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-2914
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Country | US
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Telephone | 434-964-7199
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 12058
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License Number State | VA
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