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General NPI Number Information
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NPI Number | 1366154452
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Entity Type | Individual
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Provider Name | DR. DAYANARA AMIRA THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 19000 HAWTHORNE BLVD STE 302
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City | TORRANCE
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State | CA
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Zip | 90503-1517
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Country | US
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Telephone | 310-793-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90028-7369
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Country | US
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Telephone | 415-792-9338
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 36504
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License Number State | CA
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