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General NPI Number Information
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NPI Number | 1437002730
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Entity Type | Individual
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Provider Name | LATONDA DENICE TAYLOR BSW
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 704 DOCTORS CT
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City | LEESBURG
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State | FL
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Zip | 34748-7366
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Country | US
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Telephone | 352-327-4417
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Fax |
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Provider Business Mailing Address
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Address Line | 715 W RUBY ST
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City | TAVARES
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State | FL
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Zip | 32778-3730
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Country | US
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Telephone | 352-406-1318
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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 |
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License Number State |
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