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General NPI Number Information
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NPI Number | 1992148381
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Entity Type | Individual
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Provider Name | CONNIE TAYLOR LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 357 RIVERSIDE DR SUITE 237
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City | FRANKLIN
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State | TN
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Zip | 37064-8963
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Country | US
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Telephone | 615-545-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 508 BANSHIRE CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-8260
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Country | US
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Telephone | 615-545-7567
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1035
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License Number State | TN
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