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General NPI Number Information
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NPI Number | 1699741264
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Entity Type | Individual
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Provider Name | GAYLE M TAYLOR-FORD LSCSW, LCAC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1200 GRAPHIC ARTS RD STE 100
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City | EMPORIA
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State | KS
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Zip | 66801-6204
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Country | US
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Telephone | 620-208-6480
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Fax | 620-364-2551
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Provider Business Mailing Address
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Address Line | 420 KENNEDY ST
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City | BURLINGTON
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State | KS
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Zip | 66839-1120
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Country | US
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Telephone | 620-364-2606
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Fax | 620-364-2551
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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 | 4194
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License Number State | KS
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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 | 410
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License Number State | KS
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