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General NPI Number Information
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NPI Number | 1265818165
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Entity Type | Organization
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Legal Business Name | PARSA DIAGNOSTICS
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 3434 W ILLINOIS AVE STE. 118
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City | DALLAS
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State | TX
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Zip | 75211-8709
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Country | US
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Telephone | 214-339-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 W ILLINOIS AVE STE. 118
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City | DALLAS
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State | TX
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Zip | 75211-8709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / PARTNER
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Name | DR. KAMYAR GHAFFARI
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Credential | D.C.
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Telephone | 214-277-4236
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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 | 8689
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License Number State | TX
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