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General NPI Number Information
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NPI Number | 1619769981
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Entity Type | Individual
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Provider Name | SHAHAN AWAKIMIAN DC
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 140 N HILL AVE
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City | PASADENA
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State | CA
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Zip | 91106-1907
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Country | US
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Telephone | 626-792-3390
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD UNIT 3209
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone | 626-622-4498
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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 | 37159
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License Number State | CA
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