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General NPI Number Information
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NPI Number | 1285628685
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Entity Type | Individual
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Provider Name | MARINA OLSHANSKY D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 9700 DE SOTO AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-4409
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Country | US
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Telephone | 415-577-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 22358 CYPRESS PL
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City | SANTA CLARITA
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State | CA
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Zip | 91390-4089
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Country | US
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Telephone | 415-577-8460
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Fax |
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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 | DC0293180
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License Number State | CA
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