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General NPI Number Information
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NPI Number | 1144214800
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Entity Type | Individual
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Provider Name | MAHTAB Z NEJAD DC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1848 SARATOGA AVE BLD #1 SUITE #2
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City | SARATOGA
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State | CA
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Zip | 95070-6612
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Country | US
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Telephone | 408-866-5120
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Fax | 408-866-5005
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Provider Business Mailing Address
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Address Line | 1 CHARLES ST
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City | LOS GATOS
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State | CA
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Zip | 95032-5471
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Country | US
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Telephone | 408-866-5120
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Fax | 408-866-5005
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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 | DC25953
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License Number State | CA
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