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General NPI Number Information
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NPI Number | 1457338980
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Entity Type | Organization
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Legal Business Name | MANSOUR TAFRESHI CHIRO INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 4121 BROCKTON AVE SUITE 108
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 949-355-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 4121 BROCKTON AVE STE 108
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City | RIVERSIDE
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State | CA
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Zip | 92501-3442
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Country | US
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Telephone | 949-355-4226
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MANSOUR TAFRESHI
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Credential | DC
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Telephone | 949-355-4226
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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 | DC24004
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License Number State | CA
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