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General NPI Number Information
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NPI Number | 1578438503
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Entity Type | Organization
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Legal Business Name | KIMBERLY TAYLOR FAMILY THERAPIST, A PROF. CORP.
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 1728 ABBOT KINNEY BLVD STE 102
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City | VENICE
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State | CA
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Zip | 90291-4839
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Country | US
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Telephone | 310-592-0139
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9848
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City | MARINA DEL REY
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State | CA
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Zip | 90295-2248
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Country | US
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Telephone | 310-806-0335
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. STEVE SILVERMAN
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Credential |
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Telephone | 310-806-0335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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