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General NPI Number Information
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NPI Number | 1265258081
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Entity Type | Individual
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Provider Name | TAYLOR NICOLE ALLEN-DICKSON LPC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300&310
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City | AUSTIN
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State | TX
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Zip | 78746-6579
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Country | US
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Telephone | 448-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 1915 SAMS WAY
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City | BEAUMONT
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State | TX
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Zip | 77706-3133
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Country | US
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Telephone | 870-267-4774
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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 | P2410013
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 97164
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License Number State | TX
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