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Kathy Taylor

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NPI Number Detailed Information

Provider Information:

Name: Kathy Taylor
Gender: F
Provider License Number If Given: F301557

NPI Information:

NPI: 1508865031
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 2/11/2020

Provider Business Mailing Address:

Address: 3400 DATA DR
Rancho Cordova, CA 95670
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 6555 COYLE AVE STE 180
Carmichael, CA 95608
Phone Number: 9165363666
Fax Number: 9165363515

Provider Taxonomy:

Primary: 363LA2200X
Secondary (if any): 363LF0000X
State: CA

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