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General NPI Number Information
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NPI Number | 1598265647
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Entity Type | Individual
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Provider Name | TAYTE CHRISTIAN-ANTON HINES DC
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Gender | Male
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 7950 DUBLIN BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-2929
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Country | US
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Telephone | 925-875-1459
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Fax |
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Provider Business Mailing Address
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Address Line | 709 VIA LADERA
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City | ESCONDIDO
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State | CA
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Zip | 92029-6708
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Country | US
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Telephone | 760-470-6327
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC34116
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License Number State | CA
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