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General NPI Number Information
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NPI Number | 1821499427
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Entity Type | Individual
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Provider Name | DOROTHY TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 4TH MDG 2803 MEDICAL CAMPUS DRIVE
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City | SEYMORE JOHNSON AIR FORCE BASE
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State | NC
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Zip | 27531
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Country | US
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Telephone | 919-722-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 4TH MDG 2803 MEDICAL CAMPUS DRIVE
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City | SEYMORE JOHNSON AIR FORCE BASE
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State | NC
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Zip | 27531
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Country | US
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Telephone | 919-722-8775
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW09928015
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016903
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License Number State | NC
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