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General NPI Number Information
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NPI Number | 1003203290
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Entity Type | Individual
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Provider Name | CAYLA TURNER MAT, OPA-C, ATC, LVN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2015
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 634 E MAIN ST
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City | DENISON
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State | TX
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Zip | 75021-2826
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Country | US
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Telephone | 615-653-0865
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Fax |
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Provider Business Mailing Address
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Address Line | 634 E MAIN ST
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City | DENISON
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State | TX
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Zip | 75021-2826
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Country | US
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Telephone | 615-653-0865
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000020700
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 224820
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number | 1280
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License Number State | TX
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