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NPI Code Detail

MEDICARE: DR. DANIEL JAMES RIXEN D.C.

MEDICARE: DR. DANIEL JAMES RIXEN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor21488CA

General Provider Information

NPI Number : 1114987062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JAMES RIXEN D.C.
Provider Business Mailing Address
First Line : 4726 APPIAN WAY
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-1825
Country : US
Telephone Number : 510-222-6206
Fax Number : 510-222-6204
Provider Business Practice Location Address
First Line : 4726 APPIAN WAY
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-1825
Country : US
Telephone Number : 510-222-6206
Fax Number : 510-222-6204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/09/2007

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