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General NPI Number Information
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NPI Number | 1366408718
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Entity Type | Individual
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Provider Name | DEBORAH JEAN TAYLOR PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 15444 US HWY. 17 N BLDG. 16
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8250
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Country | US
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Telephone | 910-270-5505
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Fax | 910-270-5496
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Provider Business Mailing Address
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Address Line | 5010 RANDALL PARKWAY
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City | WILMINGTON
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State | NC
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Zip | 28403-2829
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Country | US
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Telephone | 910-791-5719
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Fax | 910-799-8180
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2791
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License Number State | NC
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