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General NPI Number Information
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NPI Number | 1376644211
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Entity Type | Individual
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Provider Name | CHRISTINA J TAYLOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 2335 BLACK ROCK TPKE HALL 2
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City | FAIRFIELD
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State | CT
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Zip | 06825-3220
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Country | US
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Telephone | 203-372-4593
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Fax | 203-372-7596
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Provider Business Mailing Address
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Address Line | 311 OLD DAM RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-6384
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Country | US
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Telephone | 203-255-4628
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Fax | 203-372-4596
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001641
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 010267
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License Number State | NY
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