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General NPI Number Information
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NPI Number | 1790479012
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Entity Type | Individual
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Provider Name | TAYLOR PALMBY
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 150 E 58TH ST FL 21
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 608-290-2069
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Fax |
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Provider Business Mailing Address
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Address Line | 90 WASHINGTON ST APT 15G
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City | NEW YORK
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State | NY
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Zip | 10006-2263
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Country | US
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Telephone | 608-290-2069
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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 | 013565
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License Number State | NY
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