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General NPI Number Information
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NPI Number | 1265154769
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Entity Type | Individual
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Provider Name | TAYLOR EVAN MEFFORD LMHC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 618 E 21ST ST
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City | BROOKLYN
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State | NY
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Zip | 11226-7206
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Country | US
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Telephone | 914-809-0498
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 BROWN ST STE 101
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City | PEEKSKILL
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State | NY
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Zip | 10566-3629
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Country | US
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Telephone | 385-477-8331
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 013749
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License Number State | NY
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