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General NPI Number Information
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NPI Number | 1124053905
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Entity Type | Individual
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Provider Name | DANNIELL JESUS REYES DC, CCSP, DACRB
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 8155 W 94TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80021-4515
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Country | US
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Telephone | 303-423-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 511 E 88TH AVE APT 216
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City | THORNTON
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State | CO
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Zip | 80229-4478
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Country | US
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Telephone | 610-349-6679
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC-006207-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0008197
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC-OO6207-L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC006207L
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License Number State | PA
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