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General NPI Number Information
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NPI Number | 1881502656
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Entity Type | Individual
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Provider Name | MICAH LERON TAYLOR LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 520
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City | EUCLID
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State | OH
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Zip | 44132-3500
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Country | US
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Telephone | 216-350-6836
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Fax | 216-505-5559
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Provider Business Mailing Address
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Address Line | 1641 WOODHURST AVE
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-3407
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Country | US
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Telephone | 412-298-7404
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2613643
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License Number State | OH
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