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General NPI Number Information
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NPI Number | 1720596042
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Entity Type | Organization
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Legal Business Name | RASHIDI CHIROPRACTIC INC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 12536 WOODBINE ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-1831
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Country | US
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Telephone | 310-721-5877
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Fax |
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Provider Business Mailing Address
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Address Line | 12536 WOODBINE ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-1831
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Country | US
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Telephone | 310-721-5877
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC/ACUPUNCTURE
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Name | TANAZ RASHIDI
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Credential | DC, LAC
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Telephone | 310-721-5877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC17802
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC
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License Number State | CA
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