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General NPI Number Information
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NPI Number | 1992578793
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Entity Type | Individual
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Provider Name | CATHERINE EDEN TAYLOR PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 202 FASHION LN STE 102
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City | TUSTIN
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State | CA
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Zip | 92780-3319
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Country | US
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Telephone | 714-361-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 407 N PACIFIC COAST HWY # 505
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2872
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Country | US
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Telephone | 310-697-6922
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027830
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License Number State | CA
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