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General NPI Number Information
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NPI Number | 1891069910
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Entity Type | Organization
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Legal Business Name | LD TAYLOR & ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 2448 E 81ST ST SUITE 4824
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City | TULSA
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State | OK
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Zip | 74137-4250
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Country | US
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Telephone | 918-392-7875
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Fax | 800-260-7966
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Provider Business Mailing Address
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Address Line | 2448 E 81ST ST SUITE 4824
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City | TULSA
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State | OK
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Zip | 74137-4250
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Country | US
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Telephone | 918-392-7875
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Fax | 800-260-7966
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. LATRICIA D TAYLOR
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Credential | M.A, LPC
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Telephone | 918-392-7875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3911
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3918
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 889
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3886
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License Number State | OK
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