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General NPI Number Information
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NPI Number | 1417620857
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Entity Type | Individual
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Provider Name | TAYLOR JERAE GARCIA DC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 411 ATLAS ST STE A
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City | BREA
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State | CA
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Zip | 92821-3143
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Country | US
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Telephone | 714-672-9690
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Fax | 714-672-9692
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Provider Business Mailing Address
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Address Line | 411 ATLAS ST STE A
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City | BREA
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State | CA
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Zip | 92821-3143
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Country | US
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Telephone | 714-672-9690
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Fax | 714-672-9692
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34920
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License Number State | CA
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