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General NPI Number Information
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NPI Number | 1427315332
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Entity Type | Individual
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Provider Name | AFSANEH SOLTANPOUR DC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 17049 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-4128
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Country | US
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Telephone | 818-907-2719
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Fax | 818-907-9376
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Provider Business Mailing Address
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Address Line | 4600 DUNMAN AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3816
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Country | US
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Telephone | 818-400-4977
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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 | 24619
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License Number State | CA
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