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1578597605 NPI number — FRED VAZIRI D.C., L.AC., Q.M.E

NPI Number: 1578597605
Health Care Provider/Practitioner: FRED VAZIRI D.C., L.AC., Q.M.E

Information about “1578597605” NPI (FRED VAZIRI D.C., L.AC., Q.M.E) exists in 1578597605 in HTML format HTML  |  1578597605 in plain Text format TXT  |  1578597605 in PDF (Portable Document Format) PDF  |  1578597605 in an XML format XML  formats.

NPI Number : 1578597605 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578597605",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAZIRI",
    "FirstName": "FRED",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C., L.AC., Q.M.E",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20929 VENTURA BLVD 25",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODLAND HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91364-3353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-704-1188",
    "MailingAddressFaxNumber": "818-704-9588",
    "FirstLinePracticeLocationAddress": "20929 VENTURA BLVD 25",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODLAND HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91364-3353",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-704-1188",
    "PracticeLocationAddressFaxNumber": "818-704-9588",
    "EnumerationDate": "07/11/2006",
    "LastUpdateDate": "08/26/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "DC21157",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC9345",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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