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General NPI Number Information
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NPI Number | 1306319215
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Entity Type | Individual
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Provider Name | WEDNESDAY N TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3967 E THOUSAND OAKS BLVD STE 250
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-6657
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Country | US
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Telephone | 805-760-7393
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2737
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City | CAMARILLO
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State | CA
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Zip | 93011-2737
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Country | US
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Telephone | 805-760-7393
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 89104
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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 | 130091
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License Number State | CA
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