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General NPI Number Information
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NPI Number | 1891229597
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Entity Type | Individual
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Provider Name | VICTOR MAURICE TAYLOR LPC
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Gender | Male
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 540 OAK CENTRE DR STE 205
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4767
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Country | US
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Telephone | 844-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 6800 PARK TEN BLVD STE 200S
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4293
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Country | US
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Telephone | 210-261-1060
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Fax | 210-261-1821
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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 | 74254
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 74254
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74254
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License Number State | TX
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