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NPI Code Detail

MEDICARE: MRS. SHANNAN NATALIE TAYLOR MA

MEDICARE: MRS. SHANNAN NATALIE TAYLOR MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist43834CA

General Provider Information

NPI Number : 1528074770
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNAN NATALIE TAYLOR MA
Provider Business Mailing Address
First Line : 900 FULTON AVE STE 205
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-4517
Country : US
Telephone Number : 916-484-3570
Fax Number : 916-484-3570
Provider Business Practice Location Address
First Line : 900 FULTON AVE
Second Line : 205
City : SACRAMENTO
State : CA
Zip : 95825-4500
Country : US
Telephone Number : 916-484-3570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 05/24/2012

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