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General NPI Number Information
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NPI Number | 1326350620
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Entity Type | Individual
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Provider Name | CORA MAGLAYA PT, ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 5353 BALBOA BLVD STE 202
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City | ENCINO
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State | CA
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Zip | 91316-2889
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Country | US
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Telephone | 818-986-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 15500 WYANDOTTE ST
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City | VAN NUYS
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State | CA
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Zip | 91406-3335
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Country | US
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Telephone | 626-674-7449
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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 | 27669
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 27669
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 27669
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 27669
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License Number State | CA
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