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General NPI Number Information
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NPI Number | 1417645813
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Entity Type | Individual
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Provider Name | ROSLYN TAGGART
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 241 W A ST
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City | DIXON
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State | CA
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Zip | 95620-3448
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Country | US
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Telephone | 707-722-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 4820 BUSINESS CENTER DR STE 110
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City | FAIRFIELD
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State | CA
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Zip | 94534-1907
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Country | US
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Telephone |
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | A1524373
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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