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General NPI Number Information
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NPI Number | 1497904999
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Entity Type | Individual
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Provider Name | SANDRA LEE TAYLOR-ANDERSON LPC,CACII, NCAC,BRI
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 11755 POINTE PL SUITE C
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City | ROSWELL
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State | GA
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Zip | 30076-4656
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Country | US
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Telephone | 678-893-8757
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Fax | 678-893-8756
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Provider Business Mailing Address
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Address Line | 11755 POINTE PL SUITE C
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City | ROSWELL
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State | GA
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Zip | 30076-4656
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Country | US
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Telephone | 678-893-8757
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Fax | 678-893-8756
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC #00907
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACII #1760
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC#00907
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License Number State | GA
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