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General NPI Number Information
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NPI Number | 1891107983
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Entity Type | Individual
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Provider Name | DAVID RABAGO D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2014
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 790 SOTANO DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-1704
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Country | US
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Telephone | 916-612-3380
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Fax | 916-922-3380
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Provider Business Mailing Address
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Address Line | 1420 HOWE AVE STE 6
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City | SACRAMENTO
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State | CA
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Zip | 95825-3219
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Country | US
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Telephone | 916-568-6333
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Fax | 916-922-3380
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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 | DC 25264
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License Number State | CA
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