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General NPI Number Information
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NPI Number | 1588180855
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Entity Type | Individual
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Provider Name | TAYLOR ALSTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4202 SW LEE BLVD BLDG B
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City | LAWTON
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State | OK
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Zip | 73505-8300
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Country | US
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Telephone | 580-771-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 4854 EBERT CIR UNIT B
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City | FORT SILL
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State | OK
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Zip | 73503-4580
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Country | US
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Telephone | 443-992-1309
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW007379
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 23197
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-45370
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21346
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License Number State | OK
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