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NPI 1912845363

NPI 1912845363 : BDX MEDICARE CHIROPRACTIC DANIELS AND STANISLAWSKI PC : THOUSAND OAKS, CA

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General NPI Number Information
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    NPI Number           |    1912845363
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    Entity Type          |    Organization 
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    Legal Business Name  |    BDX MEDICARE CHIROPRACTIC DANIELS AND STANISLAWSKI PC 
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Dates
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    Enumeration Date     |    03/24/2026
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    Last Update Date     |    03/24/2026
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Provider Practice Location Address
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    Address Line         |    1011 RANCHO CONEJO BLVD 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91320-1718
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    Country              |    US
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    Telephone            |    844-472-1476
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    Fax                  |    805-273-4084
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Provider Business Mailing Address
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    Address Line         |    1011 RANCHO CONEJO BLVD 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91320-1718
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    Country              |    US
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    Telephone            |    844-472-1476
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    Fax                  |    805-273-4084
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |     RICHARD BEAU DANIELS 
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    Credential           |    DC
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    Telephone            |    844-472-1476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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