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General NPI Number Information
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NPI Number | 1225253289
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Entity Type | Organization
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Legal Business Name | RAYMAN CHIROPRACTIC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 3001 I ST SUITE 115
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City | SACRAMENTO
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State | CA
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Zip | 95816-4441
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Country | US
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Telephone | 916-452-5055
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Fax | 916-452-9325
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Provider Business Mailing Address
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Address Line | 3001 I ST SUITE 115
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City | SACRAMENTO
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State | CA
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Zip | 95816-4441
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Country | US
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Telephone | 916-452-5055
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Fax | 916-244-0606
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Authorized Official
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Title or Position | PROVIDER AND OWNER
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Name | ANTHONY RAYMAN
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Credential | D.C.
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Telephone | 916-452-5055
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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 | DC29525
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License Number State | CA
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