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General NPI Number Information
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NPI Number | 1477468965
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Entity Type | Individual
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Provider Name | GABRIEL TAYLOR
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Gender | Male
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 7244 E MAIN ST
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-2014
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Country | US
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Telephone | 614-501-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 24 E RUSSELL ST
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City | COLUMBUS
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State | OH
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Zip | 43215-2018
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Country | US
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Telephone | 304-644-5054
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP.02765
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License Number State | OH
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