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General NPI Number Information
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NPI Number | 1366622953
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Entity Type | Organization
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Legal Business Name | TAY & WILLIAMS, INC
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 9829 MIRA MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92131-1005
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Country | US
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Telephone | 858-527-0232
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Fax | 858-527-0233
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Provider Business Mailing Address
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Address Line | 9829 MIRA MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92131-1005
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Country | US
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Telephone | 858-527-0232
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Fax | 858-527-0233
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIYEN A TAY WILLIAMS
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Credential | DC
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Telephone | 858-527-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26934
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC26934
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License Number State | CA
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