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General NPI Number Information
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NPI Number | 1932051224
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Entity Type | Individual
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Provider Name | TAYLOR LILLY
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 500 E MCBEE AVE STE 100
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City | GREENVILLE
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State | SC
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Zip | 29601-5303
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Country | US
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Telephone | 864-905-8891
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Fax | 508-563-5774
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Provider Business Mailing Address
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Address Line | 500 E MCBEE AVE STE 100
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City | GREENVILLE
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State | SC
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Zip | 29601-5303
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Country | US
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Telephone | 864-905-8891
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Fax | 508-563-5774
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-417724
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License Number State | SC
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