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General NPI Number Information
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NPI Number | 1265358204
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Entity Type | Individual
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Provider Name | MR. MAX BU-HUAN TAW
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 44230 ARTESIA MILL CT
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City | LANCASTER
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State | CA
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Zip | 93535-6254
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Country | US
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Telephone | 760-474-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 LONG BEACH BLVD STE 103-607
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City | LYNWOOD
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State | CA
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Zip | 90262-2689
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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Taxonomy #3
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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 | CA
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