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General NPI Number Information
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NPI Number | 1740084102
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Entity Type | Individual
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Provider Name | TAYLOR WHITTEN CSWA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1100 SOUTHGATE STE 3
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City | PENDLETON
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State | OR
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Zip | 97801-3971
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Country | US
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Telephone | 541-215-4440
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Fax | 541-429-4118
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Provider Business Mailing Address
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Address Line | 65348 GURDANE RD
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City | PILOT ROCK
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State | OR
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Zip | 97868-6606
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Country | US
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Telephone | 541-377-6677
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | A15483
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License Number State | OR
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