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Amber Taylor

NPI Registration Record

Provider / OrganizationNPIDate Certified
AMBER TAYLOR10832318562020-06-28
Entity TypeIndividual
Provider Name Amber Taylor LAC
Practice Office Address21640 N 19TH AVE
PHOENIX, AZ US
Practice Office Telephone6024024340
Mailing Address9388 W CASHMAN DR
PEORIA, AZ 853832981 US
Business Telephone6024024340
HPT Codes
CodeLicense NoState
101YM0800X
101YP2500X PRIMARYLAC-17146 AZ
OPI Codes

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