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General NPI Number Information
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NPI Number | 1356918825
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Entity Type | Individual
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Provider Name | BRIAN TALTOAN
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Gender | Male
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 129 SUNNYDALE WAY
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6120
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Country | US
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Telephone | 410-833-5029
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 963
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City | OWINGS MILLS
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State | MD
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Zip | 21117-0903
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Country | US
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Telephone |
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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 | LC11441
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License Number State | MD
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