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General NPI Number Information
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NPI Number | 1720103450
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Entity Type | Individual
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Provider Name | TARYN L HEATON CNA
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4570 CALLE REAL CASA DEL MURAL
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1306
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Country | US
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Telephone | 805-692-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 LOBELIA DR APT 3
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City | OXNARD
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State | CA
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Zip | 93036-3014
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Country | US
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Telephone | 805-509-4322
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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