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General NPI Number Information
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NPI Number | 1801742200
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Entity Type | Individual
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Provider Name | TAYLOR ALLEN
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 4998 W BROAD ST STE 104
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City | COLUMBUS
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State | OH
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Zip | 43228-1647
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Country | US
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Telephone | 614-754-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 14461 STATE ROUTE 104 LOT 36
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City | ASHVILLE
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State | OH
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Zip | 43103-9470
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Country | US
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Telephone | 614-754-8051
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.189336
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License Number State | OH
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