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General NPI Number Information
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NPI Number | 1780804161
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Entity Type | Individual
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Provider Name | KAREN LAN TAYLOR CM-D,BA
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 E DEWEY AVE
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City | SAPULPA
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State | OK
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Zip | 74066-4201
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Country | US
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Telephone | 918-227-2016
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Fax | 918-227-1125
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Provider Business Mailing Address
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Address Line | 20496 E 48TH ST S
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City | BROKEN ARROW
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State | OK
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Zip | 74014-5246
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Country | US
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Telephone | 918-906-6434
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Fax | 918-227-1125
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | NONE
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License Number State |
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