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General NPI Number Information
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NPI Number | 1730899766
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Entity Type | Individual
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Provider Name | JANELL A TAYLOR LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY STE 24
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City | HOBBS
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State | NM
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Zip | 88240-9135
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Country | US
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Telephone | 575-249-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 36 E TWOHIG AVE STE 600
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City | SAN ANGELO
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State | TX
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Zip | 76903-6433
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Country | US
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Telephone | 325-944-2561
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Fax | 325-653-4218
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2023-0136
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License Number State | NM
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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 | 109026
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License Number State | TX
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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 | SWB-2024-1197
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License Number State | NM
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