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General NPI Number Information
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NPI Number | 1912893520
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Entity Type | Individual
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Provider Name | TAYLOR JORDAN EMERY MA CMHC (CANDIDATE)
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 5 MARKET SQ # B9
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City | AMESBURY
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State | MA
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Zip | 01913-2497
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Country | US
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Telephone | 413-238-1088
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Fax | 978-388-0006
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Provider Business Mailing Address
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Address Line | 178 DRAKESIDE RD UNIT 304
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City | HAMPTON
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State | NH
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Zip | 03842-1838
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Country | US
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Telephone | 603-303-1112
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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