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General NPI Number Information
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NPI Number | 1033841978
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Entity Type | Organization
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Legal Business Name | TAYLOR FIELD THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 1 FREEDOM RD
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City | CARSON
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State | NM
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Zip | 87517-8047
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Country | US
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Telephone | 954-232-4482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | CARSON
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State | NM
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Zip | 87517-0126
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Country | US
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Telephone | 954-232-4482
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TAYLOR FIELD
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Credential | LMFT
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Telephone | 954-232-4482
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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 |
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License Number State |
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