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General NPI Number Information
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NPI Number | 1548664238
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Entity Type | Individual
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Provider Name | ASHANNA SEVIN D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 1415 BROADWAY STE 29
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City | ALAMEDA
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State | CA
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Zip | 94501-4663
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Country | US
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Telephone | 510-205-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 PACIFIC AVE APT C
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City | ALAMEDA
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State | CA
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Zip | 94501-2679
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Country | US
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Telephone |
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Fax |
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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 | 32340
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License Number State | CA
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