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General NPI Number Information
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NPI Number | 1174323786
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Entity Type | Organization
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Legal Business Name | DESERT RAIN CHIROPRACTIC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 406 LINDA VISTA RD
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City | SANTA FE
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State | NM
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Zip | 87505-1630
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Country | US
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Telephone | 505-500-2907
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 ESCONDIDA CT
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City | SANTA FE
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State | NM
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Zip | 87507-5124
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Country | US
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Telephone | 503-806-7558
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DYLAN BEAMER
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Credential | DC
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Telephone | 503-806-7558
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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 |
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License Number State |
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