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General NPI Number Information
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NPI Number | 1225428725
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Entity Type | Individual
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Provider Name | ALEXANDRIA TAYLOR M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 250 W 1ST ST STE 214
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City | CLAREMONT
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State | CA
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Zip | 91711-4743
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Country | US
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Telephone | 909-447-9516
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 1ST ST STE 214
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City | CLAREMONT
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State | CA
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Zip | 91711-4743
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Country | US
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Telephone | 909-447-9516
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 85195
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License Number State | CA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 99309
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License Number State | CA
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