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General NPI Number Information
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NPI Number | 1629902952
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Entity Type | Organization
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Legal Business Name | NASRIN HADIZADEH CHIROPRACTIC APC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD STE 505
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City | ENCINO
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State | CA
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Zip | 91436-1969
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Country | US
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Telephone | 818-881-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD STE 505
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City | ENCINO
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State | CA
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Zip | 91436-1969
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Country | US
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Telephone | 818-881-7440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NASRIN HADIZADEH
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Credential |
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Telephone | 818-881-7440
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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 |
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License Number State |
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