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General NPI Number Information
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NPI Number | 1043149966
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Entity Type | Organization
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Legal Business Name | DYGO BUSINESS SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 7741 BLACK SAND WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-4332
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Country | US
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Telephone | 916-585-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 7909 WALERGA RD STE 112
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City | ANTELOPE
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State | CA
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Zip | 95843-5727
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Country | US
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Telephone | 916-585-6555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN COGGINS
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Credential |
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Telephone | 916-585-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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