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NPI 1407533037

NPI 1407533037 : TAYLOR DANIELLE ROLLINS APCC 13546 : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1407533037
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR DANIELLE ROLLINS APCC 13546
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2023
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    Last Update Date     |    09/03/2024
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Provider Practice Location Address
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    Address Line         |    3636 N 1ST ST STE 162 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93726-6869
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    Country              |    US
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    Telephone            |    559-476-2166
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3321 CAMBRIA AVE 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93637-5950
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    Country              |    US
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    Telephone            |    559-718-3779
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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       |    13546
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    License Number State |    CA
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