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General NPI Number Information
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NPI Number | 1245681717
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Entity Type | Individual
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Provider Name | TAYLOR SWING
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 340 ARGUELLO BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1473
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Country | US
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Telephone | 760-554-2995
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 590416
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City | SAN FRANCISCO
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State | CA
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Zip | 94159-0416
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Country | US
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Telephone | 760-554-2995
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 83807
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW101242
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License Number State | CA
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