=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912722497
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TAGLIO CHIROPRACTIC, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2024
-----------------------------------------------------
Last Update Date | 11/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1402 BLUE OAKS BLVD STE 130
-----------------------------------------------------
City | ROSEVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95747-6600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-759-2920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1402 BLUE OAKS BLVD STE 130
-----------------------------------------------------
City | ROSEVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95747-6600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-759-2920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, DOCTOR OF CHIROPRACTIC
-----------------------------------------------------
Name | HILARY L TAGLIO
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 916-759-2920
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------