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General NPI Number Information
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NPI Number | 1598159436
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Entity Type | Individual
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Provider Name | MISAGH ZAKER
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Gender | Male
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 2557 A PACIFIC COAST HIGHWAY
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City | TORRANCE
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State | CA
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Zip | 90505
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Country | US
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Telephone | 310-626-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 2557A PACIFIC COAST HWY
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City | TORRANCE
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State | CA
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Zip | 90505-7035
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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 | 33233
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License Number State | CA
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