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General NPI Number Information
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NPI Number | 1720866254
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Entity Type | Individual
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Provider Name | SKY TAYLOR LPC-A
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 5228 VILLAGE CREEK DR STE 100
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City | PLANO
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State | TX
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Zip | 75093-4430
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Country | US
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Telephone | 972-913-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 4316 DENVER DR
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City | PLANO
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State | TX
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Zip | 75093-5439
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Country | US
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Telephone | 214-908-3822
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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 | 1620450
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License Number State | TX
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