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General NPI Number Information
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NPI Number | 1396941084
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Entity Type | Individual
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Provider Name | DANIEL H DIAZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 806 RACHELLE DR
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City | RED OAK
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State | TX
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Zip | 75154-5220
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Country | US
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Telephone | 214-325-5101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1495
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City | RED OAK
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State | TX
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Zip | 75154-1561
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Country | US
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Telephone |
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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 | 5959
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License Number State | TX
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