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General NPI Number Information
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NPI Number | 1528466125
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Entity Type | Individual
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Provider Name | HEDIEH RASTEGAR ARIA CHIROPRACTIC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 15002 MAGNOLIA BLVD APT# 7
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1370
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Country | US
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Telephone | 818-984-2893
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Fax |
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Provider Business Mailing Address
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Address Line | 15002 MAGNOLIA BLVD 7
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City | SHERMAN OAKS
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State | CA
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Zip | 91403
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Country | US
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Telephone | 323-432-0014
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Fax | 323-212-6264
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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 | 33137
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License Number State | CA
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