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General NPI Number Information
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NPI Number | 1770405904
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Entity Type | Organization
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Legal Business Name | TAYLOR GROWTH & WELLNESS CENTER
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 4901 FITZHUGH AVE STE 306
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City | RICHMOND
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State | VA
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Zip | 23230-3531
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Country | US
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Telephone | 804-398-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 EAGLE TRACE TER
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City | RICHMOND
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State | VA
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Zip | 23223-1188
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Country | US
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Telephone | 804-398-2101
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | TANJA TAYLOR
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Credential | BS
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Telephone | 804-398-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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