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NPI Code Detail

MEDICARE: DAYLIN BROOKE TAYLOR

MEDICARE: DAYLIN BROOKE TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1194203687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYLIN BROOKE TAYLOR
Provider Business Mailing Address
First Line : 4623 TROUSDALE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4584
Country : US
Telephone Number : 615-301-8431
Fax Number : 615-301-8469
Provider Business Practice Location Address
First Line : 4623 TROUSDALE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4584
Country : US
Telephone Number : 615-301-8431
Fax Number : 615-301-8469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 11/24/2021

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