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General NPI Number Information
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NPI Number | 1205217643
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Entity Type | Organization
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Legal Business Name | COLUMBIA CENTER FOR INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 6320 CANOGA AVE FL 15
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2563
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Country | US
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Telephone | 818-251-6498
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Fax | 844-233-7639
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Provider Business Mailing Address
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Address Line | 6320 CANOGA AVE FL 15
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2563
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Country | US
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Telephone | 818-251-6498
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Fax | 844-233-7639
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Authorized Official
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Title or Position | C E O
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Name | DR. DUSHYANT VISWANATHAN
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Credential |
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Telephone | 818-251-6498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 140801
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License Number State | CA
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