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General NPI Number Information
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NPI Number | 1669231254
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Entity Type | Individual
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Provider Name | RODNEY J TAYLOR
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Gender | Male
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 1605 5TH PL
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City | LAS VEGAS
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State | NV
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Zip | 89104-1422
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Country | US
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Telephone | 702-672-8654
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Fax |
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Provider Business Mailing Address
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Address Line | 2654 W HORIZON RIDGE PKWY # B5136
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City | HENDERSON
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State | NV
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Zip | 89052-2803
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Country | US
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Telephone | 702-241-6006
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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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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 86-3770518
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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