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General NPI Number Information
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NPI Number | 1447826052
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Entity Type | Organization
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Legal Business Name | FAZEL CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 3579 ARLINGTON AVE SUITE #100
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 951-782-8369
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Fax | 951-782-8378
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Provider Business Mailing Address
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Address Line | 3579 ARLINGTON AVE SUITE #100
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 951-782-8369
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Fax | 951-782-8378
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANAM FAZEL
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Credential | DC
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Telephone | 951-782-8369
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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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