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General NPI Number Information
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NPI Number | 1972443638
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Entity Type | Individual
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Provider Name | TAYLOR TILLINGHAST CMT, CPT, CES
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 2410 SAN RAMON VALLEY BLVD STE 115
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City | SAN RAMON
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State | CA
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Zip | 94583-1788
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Country | US
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Telephone | 925-413-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 WESTMORELAND CIR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-6334
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Country | US
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Telephone | 925-413-5542
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 77028
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License Number State | CA
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