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General NPI Number Information
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NPI Number | 1841418852
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Entity Type | Individual
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Provider Name | DANIEL EARL COLFER DC
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 4421 SOQUEL DR
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City | SOQUEL
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State | CA
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Zip | 95073-2120
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Country | US
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Telephone | 831-476-9394
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | SOQUEL
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State | CA
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Zip | 95073-0292
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Country | US
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Telephone | 831-476-9394
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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 | 19088
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License Number State | CA
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