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General NPI Number Information
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NPI Number | 1215704440
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Entity Type | Organization
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Legal Business Name | PEZESHKIAN CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 539 N GLENOAKS BLVD STE 301C
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City | BURBANK
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State | CA
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Zip | 91502-3209
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Country | US
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Telephone | 818-321-6472
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Fax |
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Provider Business Mailing Address
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Address Line | 3158 COMMUNITY AVE
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3449
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Country | US
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Telephone | 818-321-6472
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAGGIE PEZESHKIAN
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Credential | DC
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Telephone | 818-321-6472
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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 |
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License Number State |
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