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General NPI Number Information
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NPI Number | 1083719132
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Entity Type | Individual
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Provider Name | FARANAK DEHGHAN-ABNAVI DC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 8923 DE SOTO AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-1966
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Country | US
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Telephone | 818-576-0901
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Fax | 818-576-0902
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Provider Business Mailing Address
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Address Line | 8923 DE SOTO AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-1966
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Country | US
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Telephone | 818-576-0901
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Fax | 818-576-0902
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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 | DC24882
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License Number State | CA
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