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General NPI Number Information
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NPI Number | 1609874106
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Entity Type | Individual
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Provider Name | ROGER STEVEN RAHN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 3381 N BOND AVE SUITE #101
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City | FRESNO
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State | CA
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Zip | 93726-5726
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Country | US
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Telephone | 559-374-5543
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Fax | 559-374-5546
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Provider Business Mailing Address
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Address Line | 1865 HERNDON AVE # K310
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City | CLOVIS
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State | CA
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Zip | 93611-6163
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Country | US
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Telephone | 559-341-7978
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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 | DC19253
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License Number State | CA
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