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General NPI Number Information
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NPI Number | 1417696048
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Entity Type | Individual
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Provider Name | ERICA TAYLOR LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 4500 S. LANCASTER AVE. (#116A)
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 469-970-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 S. LANCASTER AVE. (#116A)
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 469-970-3415
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16066
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 87560
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180012405
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License Number State | IL
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