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General NPI Number Information
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NPI Number | 1427135581
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Entity Type | Individual
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Provider Name | KATHLEEN X TAYLOR LPC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 279 NEW BRITAIN RD
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City | BERLIN
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State | CT
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Zip | 06037-3165
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Country | US
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Telephone | 860-827-9364
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Fax | 860-505-8120
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Provider Business Mailing Address
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Address Line | 279 NEW BRITAIN RD
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City | BERLIN
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State | CT
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Zip | 06037-3165
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Country | US
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Telephone | 860-827-9364
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Fax | 860-505-8120
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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 | 001342
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-12-11782
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License Number State | CT
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