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General NPI Number Information
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NPI Number | 1104136910
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Entity Type | Individual
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Provider Name | AUBREE CHRISTENE FAE TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 704 MILL STREET
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City | LOYALTON
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State | CA
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Zip | 96118
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Country | US
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Telephone | 530-993-6765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 265
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City | LOYALTON
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State | CA
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Zip | 96118-0265
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Country | US
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Telephone | 530-993-6765
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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