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General NPI Number Information
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NPI Number | 1982225678
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Entity Type | Individual
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Provider Name | MR. TAYLOR LYLE MAGALLANES
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2975 CA-246
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City | SANTA YNEZ
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State | CA
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Zip | 93460-2701
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Country | US
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Telephone | 805-688-6488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 573
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City | LOS OLIVOS
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State | CA
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Zip | 93441-0573
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Country | US
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Telephone | 805-245-8450
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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