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General NPI Number Information
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NPI Number | 1437205614
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Entity Type | Individual
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Provider Name | FLORA NAOMI TAYLOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 324 CENTRE ST
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2311
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Country | US
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Telephone | 973-761-5322
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Fax | 973-761-0266
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Provider Business Mailing Address
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Address Line | 324 CENTRE ST
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2311
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Country | US
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Telephone | 973-761-5322
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Fax | 973-761-0266
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3525
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License Number State | NJ
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