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General NPI Number Information
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NPI Number | 1043655426
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Entity Type | Individual
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Provider Name | CARLOS A TALOYO PHD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 2250 D ST NE
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City | SALEM
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State | OR
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Zip | 97301-2768
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Country | US
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Telephone | 503-364-6093
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Fax | 503-364-5121
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Provider Business Mailing Address
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Address Line | 3000 MARKET ST NE STE 426
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City | SALEM
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State | OR
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Zip | 97301-1894
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Country | US
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Telephone | 503-406-3028
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Fax | 509-357-9788
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1799
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License Number State | OR
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