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General NPI Number Information
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NPI Number | 1255572632
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Entity Type | Individual
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Provider Name | RODNEY W. TAYLOR LPC-S; LCDC; LCCA
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Gender | Male
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 424 MATTERHORN ST
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City | CEDAR HILL
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State | TX
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Zip | 75104-2835
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Country | US
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Telephone | 469-226-9982
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 423
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City | CEDAR HILL
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State | TX
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Zip | 75106-0423
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Country | US
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Telephone | 469-226-9822
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10826
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 65340
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 65340
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License Number State | TX
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