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General NPI Number Information
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NPI Number | 1841527298
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Entity Type | Individual
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Provider Name | NICOLE E TAYLOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2955 100TH ST STE 3
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City | URBANDALE
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State | IA
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Zip | 50322-5526
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Country | US
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Telephone | 515-612-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 FORD LN
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City | FORT COLLINS
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State | CO
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Zip | 80524-1864
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Country | US
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Telephone | 303-803-3069
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3533
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1098
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 001098
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License Number State | IA
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