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General NPI Number Information
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NPI Number | 1558433714
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Entity Type | Individual
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Provider Name | TRACY LYNN MAGIE D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 1537 GRAND AVE #C
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City | SAN MARCOS
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State | CA
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Zip | 92078-2424
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Country | US
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Telephone | 760-752-1551
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Fax | 760-436-3993
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Provider Business Mailing Address
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Address Line | PO BOX 1176
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City | CARDIFF
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State | CA
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Zip | 92007-7176
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Country | US
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Telephone | 858-509-7999
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Fax | 858-509-3993
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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 | DC17993
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License Number State | CA
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