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General NPI Number Information
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NPI Number | 1861294910
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Entity Type | Individual
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Provider Name | ELEXUS M PAYLOR MFT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 11800 CENTRAL AVE STE 225
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City | CHINO
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State | CA
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Zip | 91710-7201
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Country | US
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Telephone | 909-591-5085
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Fax |
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Provider Business Mailing Address
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Address Line | 28480 CA-74 STE C, PO BOX 1203
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City | MENIFEE
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State | CA
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Zip | 92585
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Country | US
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Telephone |
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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 | AMFT150224
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License Number State | CA
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