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General NPI Number Information
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NPI Number | 1043919798
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Entity Type | Organization
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Legal Business Name | TAYLOR ALMQUIST LCSW INC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 1096 CALIMESA BLVD # 212
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City | CALIMESA
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State | CA
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Zip | 92320-1563
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Country | US
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Telephone | 909-300-5058
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Fax |
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Provider Business Mailing Address
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Address Line | 473 E CARNEGIE DRIVE SUITE 200
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City | SAN BERNARDINO
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State | CA
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Zip | 92408
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Country | US
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Telephone | 909-300-5058
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | TAYLOR ALMQUIST
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Credential |
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Telephone | 909-300-5058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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