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General NPI Number Information
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NPI Number | 1487089827
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Entity Type | Individual
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Provider Name | LESLIE TAYLOR LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 910 FRENCH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-3720
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Country | US
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Telephone | 714-547-3301
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Fax | 714-547-1249
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Provider Business Mailing Address
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Address Line | 101 N ASHFORD PL
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City | FULLERTON
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State | CA
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Zip | 92831-4010
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Country | US
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Telephone | 714-853-4110
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 99411
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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