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General NPI Number Information
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NPI Number | 1902351992
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Entity Type | Organization
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Legal Business Name | TAYLORMADE CHILD & FAMILY SOLUTIONS
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 7736 ARKAN PKWY
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City | DALLAS
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State | TX
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Zip | 75241-5345
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Country | US
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Telephone | 972-499-5636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1692
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City | RED OAK
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State | TX
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Zip | 75154-1564
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Country | US
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Telephone | 972-499-5636
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. ERICA TAYLOR
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Credential | LCSW
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Telephone | 972-499-5636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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