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General NPI Number Information
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NPI Number | 1194205286
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Entity Type | Individual
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Provider Name | TAYLOR N CARNEY
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Gender | Female
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1922 ERRINGER RD
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3525
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Country | US
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Telephone | 805-584-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 11514 ALBA ROSA DR
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City | LAKESIDE
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State | CA
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Zip | 92040-1254
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Country | US
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Telephone | 619-820-2123
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 60851033
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 304971
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License Number State | CA
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