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General NPI Number Information
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NPI Number | 1093614463
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Entity Type | Individual
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Provider Name | JOHN FRANK RICCABONA III DC
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2121 YGNACIO VALLEY RD STE F
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3384
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Country | US
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Telephone | 925-938-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 445 DIAMOND PEAK LN
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City | OAKLEY
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State | CA
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Zip | 94561-2185
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Country | US
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Telephone | 925-405-2210
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37785
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License Number State | CA
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