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General NPI Number Information
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NPI Number | 1952594186
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Entity Type | Individual
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Provider Name | DEBORAH A TAYLOR LPC, CAC II
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 6436 S QUEBEC ST BLDG 6-110G
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City | CENTENNIAL
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State | CO
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Zip | 80111-7605
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Country | US
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Telephone | 303-888-8617
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Fax |
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Provider Business Mailing Address
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Address Line | 6436 S QUEBEC ST BLDG. 6-110G
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City | CENTENNIAL
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State | CO
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Zip | 80111-7605
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Country | US
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Telephone | 303-888-8617
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6156
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4207
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License Number State | CO
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