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General NPI Number Information
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NPI Number | 1366104457
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Entity Type | Individual
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Provider Name | KAL MARY TAYLOR MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 9304 234TH ST SW
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City | EDMONDS
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State | WA
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Zip | 98020-5033
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Country | US
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Telephone | 206-910-5854
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Fax |
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Provider Business Mailing Address
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Address Line | 9792 EDMONDS WAY # 228
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City | EDMONDS
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State | WA
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Zip | 98020-5940
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Country | US
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Telephone | 206-910-5854
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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 | LM60937466
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License Number State | WA
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