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General NPI Number Information
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NPI Number | 1518103845
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Entity Type | Organization
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Legal Business Name | A-CHIROCARE
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 8923 DE SOTO AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-1966
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Country | US
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Telephone | 818-576-0901
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Fax | 818-576-0902
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Provider Business Mailing Address
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Address Line | 8923 DE SOTO AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-1966
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Country | US
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Telephone | 818-576-0901
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Fax | 818-576-0902
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Authorized Official
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Title or Position | OWNER
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Name | DR. FARANAK DEHGHAN-ABNAVI
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Credential | DC
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Telephone | 818-360-9517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | DC24882
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License Number State | CA
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