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General NPI Number Information
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NPI Number | 1104632785
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Entity Type | Individual
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Provider Name | TAYLOR REANN RICHARDS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1311 E PALMDALE BLVD STE 14
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City | PALMDALE
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State | CA
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Zip | 93550-2019
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Country | US
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Telephone | 661-228-0567
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Fax | 619-241-2678
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Provider Business Mailing Address
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Address Line | 1545 HOTEL CIR S STE 301
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City | SAN DIEGO
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State | CA
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Zip | 92108-3400
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Country | US
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Telephone | 661-618-6361
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Fax | 619-241-2678
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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