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General NPI Number Information
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NPI Number | 1942427687
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Entity Type | Individual
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Provider Name | ANGELA M TAYLOR L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 15233 VENTURA BLVD SUITE 1208
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2201
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Country | US
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Telephone | 818-307-9314
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2483
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City | TOLUCA LAKE
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State | CA
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Zip | 91610-0483
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Country | US
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Telephone | 818-207-3615
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS23826
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License Number State | CA
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