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General NPI Number Information
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NPI Number | 1649922055
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Entity Type | Organization
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Legal Business Name | ESFAHANIZADEH CHIROPRACTIC INC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 1201 CAMINO DEL MAR STE 205
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City | DEL MAR
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State | CA
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Zip | 92014-2569
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Country | US
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Telephone | 858-519-5461
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Fax | 858-519-5461
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Provider Business Mailing Address
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Address Line | 122 15TH ST UNIT 1175
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City | DEL MAR
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State | CA
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Zip | 92014-8057
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Country | US
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Telephone | 858-531-8784
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Fax | 858-519-5461
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAYYEDAH FATIMAH ESFAHANIZADEH
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Credential | DC
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Telephone | 858-531-8784
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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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