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General NPI Number Information
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NPI Number | 1093214587
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Entity Type | Organization
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Legal Business Name | ALLIED PAIN AND WELLNESS SIMIAN CHIROPRACTIC INC.
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 1209 N HOLLYWOOD WAY UNIT 200
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City | BURBANK
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State | CA
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Zip | 91505-2149
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Country | US
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Telephone | 818-688-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 N HOLLYWOOD WAY UNIT 200
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City | BURBANK
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State | CA
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Zip | 91505-2149
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Country | US
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Telephone | 818-688-2275
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHEN SIMIAN
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Credential | DC
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Telephone | 818-688-2275
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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 | 33195
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License Number State | CA
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