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General NPI Number Information
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NPI Number | 1194880567
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Entity Type | Individual
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Provider Name | MICHAEL ASSOURI D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17042 DEVONSHIRE ST STE 217
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1675
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Country | US
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Telephone | 818-832-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 7657 WINNETKA AVE # 119
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City | CANOGA PARK
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State | CA
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Zip | 91306-2677
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Country | US
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Telephone | 818-832-3100
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Fax | 818-832-3199
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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 | DC24076
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License Number State | CA
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