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General NPI Number Information
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NPI Number | 1396913232
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Entity Type | Organization
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Legal Business Name | FERNANDO J RAYAS DC A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 520 W 17TH ST STE 3
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City | SANTA ANA
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State | CA
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Zip | 92706-3614
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Country | US
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Telephone | 714-973-8911
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Fax | 714-973-1023
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Provider Business Mailing Address
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Address Line | 520 W 17TH ST STE 3
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City | SANTA ANA
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State | CA
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Zip | 92706-3614
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Country | US
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Telephone | 714-973-8911
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Fax | 714-973-1023
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | DR. FERNANDO J RAYAS
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Credential | D.C.
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Telephone | 714-973-8911
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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 | DC12515
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License Number State | CA
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