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NPI 1780552976

NPI 1780552976 : DANIELA REYES DC : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1780552976
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELA REYES DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/28/2025
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    1101 S WINCHESTER BLVD STE M257 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95128-3904
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    Country              |    US
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    Telephone            |    408-502-6358
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1948 RAILROAD AVE UNIT 106 
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    City                 |    LIVERMORE
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    State                |    CA
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    Zip                  |    94550-2123
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    Country              |    US
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    Telephone            |    925-621-9542
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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       |    37449
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    License Number State |    CA
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