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General NPI Number Information
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NPI Number | 1740931203
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Entity Type | Individual
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Provider Name | TWYLA MARIE COY MA
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Gender | Female
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Dates
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Enumeration Date | 01/15/2022
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5201 GREAT AMERICA PKWY STE 320
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City | SANTA CLARA
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State | CA
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Zip | 95054-1140
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Country | US
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Telephone | 818-422-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 3597 E MONARCH SKY LANE SUITE 240 #7671
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City | MERIDIAN
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State | ID
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Zip | 83646
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Country | US
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Telephone | 818-422-1021
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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 | 148695
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License Number State | CA
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