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General NPI Number Information
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NPI Number | 1588584130
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Entity Type | Individual
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Provider Name | MR. ROY L TAYLOR JR.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 28945 STATE ROAD 54 STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-3218
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Country | US
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Telephone | 813-438-5949
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W SADIE ST
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City | BRANDON
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State | FL
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Zip | 33510-4440
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Country | US
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Telephone | 813-438-5949
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH28147
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License Number State | FL
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