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General NPI Number Information
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NPI Number | 1790779338
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Entity Type | Individual
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Provider Name | JENNIFER F. TAYLOR PH. D.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 1433 11TH ST # F
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City | ARCATA
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State | CA
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Zip | 95521-5712
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Country | US
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Telephone | 707-826-9601
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Fax |
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Provider Business Mailing Address
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Address Line | 799 H ST # 239
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City | ARCATA
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State | CA
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Zip | 95521-6240
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Country | US
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Telephone | 707-826-9601
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY18047
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License Number State | CA
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