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NPI 1457262909

NPI 1457262909 : MICHELLE TAYLOR : RENO, NV

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General NPI Number Information
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    NPI Number           |    1457262909
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE TAYLOR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2026
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    Last Update Date     |    09/14/2026
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Provider Practice Location Address
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    Address Line         |    4745 CAUGHLIN PKWY STE 200 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89519-0972
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    Country              |    US
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    Telephone            |    320-905-4345
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6611 CLAYMONT CT 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-3214
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    M14811
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    License Number State |    NV
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