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General NPI Number Information
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NPI Number | 1710666946
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Entity Type | Individual
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Provider Name | ALESHA LYNN TAYLOR AMFT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 3051 W MAPLE LOOP DR STE 300
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City | LEHI
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State | UT
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Zip | 84043-6552
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Country | US
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Telephone | 520-302-8537
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Fax |
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Provider Business Mailing Address
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Address Line | 1991 W ELM ST
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City | TUCSON
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State | AZ
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Zip | 85745-1940
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Country | US
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Telephone | 520-302-8537
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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 | 13305100-3904
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License Number State | UT
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