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NPI Code Detail

MEDICARE: TAMARA TAYLOR MSW

MEDICARE:   TAMARA  TAYLOR  MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1922860493
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA TAYLOR MSW
Provider Business Mailing Address
First Line : 9130 RIDGE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654-5034
Country : US
Telephone Number : 727-339-0466
Fax Number :
Provider Business Practice Location Address
First Line : 9130 RIDGE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654-5034
Country : US
Telephone Number : 727-339-0466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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Directions to “ TAMARA TAYLOR MSW” Practice Location

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