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1508096967 NPI number — KIMBERLY COLEEN TAYLOR LMFT 93627

NPI Number: 1508096967
Health Care Provider/Practitioner: KIMBERLY COLEEN TAYLOR LMFT 93627

Information about “1508096967” NPI (KIMBERLY COLEEN TAYLOR LMFT 93627) exists in 1508096967 in HTML format HTML  |  1508096967 in plain Text format TXT  |  1508096967 in PDF (Portable Document Format) PDF  |  1508096967 in an XML format XML  formats.

NPI Number : 1508096967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508096967",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "KIMBERLY",
    "MiddleName": "COLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT 93627",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "668 N. PACIFIC COAST HIGHWAY",
    "SecondLineMailingAddress": "#1112",
    "MailingAddressCityName": "LAGUNA BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92651-2667",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-424-9681",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17011 BEACH BLVD STE 900",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTINGTON BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92647-5998",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-424-9681",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2009",
    "LastUpdateDate": "06/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "93627",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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