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General NPI Number Information
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NPI Number | 1821303173
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA CARDIO THORACIC SURGERY PC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 2400 BATH ST SUITE 202
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4351
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Country | US
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Telephone | 805-845-3318
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Fax | 805-845-3418
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Provider Business Mailing Address
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Address Line | 2400 BATH ST SUITE 202
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4351
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Country | US
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Telephone | 805-845-3318
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Fax | 805-845-3418
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENEDCT JW TAYLOR
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Credential | MD
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Telephone | 805-845-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State | CA
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