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General NPI Number Information
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NPI Number | 1194534370
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Entity Type | Individual
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Provider Name | TAYLOR PAPUTSEANOS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 6120 SAINT GILES ST STE 240
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City | RALEIGH
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State | NC
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Zip | 27612-7046
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Country | US
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Telephone | 919-213-1805
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Fax |
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Provider Business Mailing Address
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Address Line | 604 SANDYCREST DR
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City | CHERRYVILLE
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State | NC
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Zip | 28021-2237
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Country | US
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Telephone | 704-466-4521
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20484A
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License Number State | NC
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