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NPI Code Detail

MEDICARE: DR. ABBE TAYLOR GAGE DC

MEDICARE:  DR. ABBE TAYLOR GAGE  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB01956NV
2225700000XMassage Therapist112608CA
3111N00000XChiropractorDC36531CA

General Provider Information

NPI Number : 1952037079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABBE TAYLOR GAGE DC
Provider Business Mailing Address
First Line : PO BOX 196
Second Line :
City : CARNELIAN BAY
State : CA
Zip : 96140-0196
Country : US
Telephone Number : 530-584-9446
Fax Number :
Provider Business Practice Location Address
First Line : 2690 LAKE FOREST RD
Second Line :
City : TAHOE CITY
State : CA
Zip : 96145-2088
Country : US
Telephone Number : 530-584-9446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2022
Last Update Date : 01/22/2023

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Directions to “ DR. ABBE TAYLOR GAGE DC” Practice Location

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