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General NPI Number Information
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NPI Number | 1376850875
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Entity Type | Individual
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Provider Name | JEANNINE M TAYLOR PCCS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 60 SAND RUN RD
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City | AKRON
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State | OH
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Zip | 44313-6202
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Country | US
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Telephone | 330-620-3283
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Fax | 330-836-2222
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Provider Business Mailing Address
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Address Line | 1000 PELEE DR
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City | AKRON
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State | OH
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Zip | 44333-2969
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Country | US
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Telephone | 330-836-2222
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Fax | 330-836-2222
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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 | E0003744
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License Number State | OH
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