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General NPI Number Information
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NPI Number | 1487564498
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Entity Type | Individual
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Provider Name | TAYLOR ERMOIAN
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 17000 HAYNES ST
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City | LAKE BALBOA
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State | CA
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Zip | 91406-5420
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Country | US
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Telephone | 818-758-5200
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Fax | 818-450-0119
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Provider Business Mailing Address
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Address Line | 5637 STROHM AVE APT 8
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2214
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Country | US
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Telephone | 785-259-5124
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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 | 122194
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License Number State | CA
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