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General NPI Number Information
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NPI Number | 1891636049
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Entity Type | Individual
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Provider Name | MARSHELLE DENISE TAYLOR QDDP/ABA
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3510 HIGHLAND AVE
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City | BESSEMER
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State | AL
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Zip | 35023-2648
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Country | US
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Telephone | 904-761-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 3510 HIGHLAND AVE
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City | BESSEMER
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State | AL
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Zip | 35023-2648
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Country | US
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Telephone | 904-761-5178
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 5441
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 5441
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 5441
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 5441
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License Number State | AL
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