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NPI Code Detail

MEDICARE: DR. BARRY ROBERT DANIELI D.C.

MEDICARE:  DR. BARRY ROBERT DANIELI  D.C.
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
1111N00000XChiropractor14899CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-3801320OTHERCAFED. TAX ID#

General Provider Information

NPI Number : 1649263567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY ROBERT DANIELI D.C.
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : EL VERANO
State : CA
Zip : 95433-0190
Country : US
Telephone Number : 707-996-2252
Fax Number : 707-935-6539
Provider Business Practice Location Address
First Line : 19016 BAY ST.
Second Line :
City : SONOMA
State : CA
Zip : 95476
Country : US
Telephone Number : 707-996-2252
Fax Number : 707-935-6539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 09/26/2019

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Directions to “ DR. BARRY ROBERT DANIELI D.C.” Practice Location

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