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General NPI Number Information
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NPI Number | 1447075577
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Entity Type | Organization
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Legal Business Name | SAM SHIRAZI INC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1106 N LA CIENEGA BLVD STE 203
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2493
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Country | US
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Telephone | 310-659-8500
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Fax | 310-652-6562
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Provider Business Mailing Address
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Address Line | 1106 N LA CIENEGA BLVD STE 203
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2493
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Country | US
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Telephone | 310-659-8500
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Fax | 310-652-6562
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMAN SHIRAZI-NEJAD
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Credential | DC
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Telephone | 310-659-8500
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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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