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General NPI Number Information
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NPI Number | 1811861107
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Entity Type | Individual
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Provider Name | TAYLOR BROOKE SESSUMS
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Gender | Female
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3490 HORNET HWY
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City | HUNDRED
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State | WV
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Zip | 26575
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Country | US
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Telephone | 304-775-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 MIDDLE GRAVE CREEK RD
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City | MOUNDSVILLE
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State | WV
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Zip | 26041-3365
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Country | US
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Telephone | 304-559-5872
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PSLP1126
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License Number State | WV
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