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General NPI Number Information
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NPI Number | 1376309450
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Entity Type | Individual
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Provider Name | LATARA JONES TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1465 CIVIC CT
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City | CONCORD
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State | CA
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Zip | 94520-7914
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Country | US
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Telephone | 925-678-5243
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 OLD CREEK CIR
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City | PITTSBURG
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State | CA
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Zip | 94565-5338
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Country | US
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Telephone | 510-289-7692
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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 |
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License Number State |
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