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General NPI Number Information
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NPI Number | 1740316082
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Entity Type | Organization
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Legal Business Name | KAZANDJIAN CHIROPRACTIC HEALTH CENTER INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 265 E ORANGE GROVE AVE STE B
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-500-9291
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Fax | 818-660-2590
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Provider Business Mailing Address
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Address Line | 265 E ORANGE GROVE AVE STE B
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City | BURBANK
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State | CA
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Zip | 91502-1229
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Country | US
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Telephone | 818-500-9291
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Fax | 818-660-2590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TSOLAG JIMMY KAZANDJIAN
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Credential | DC, LAC
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Telephone | 818-500-9291
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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 | AC12433
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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 | DC30283
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License Number State | CA
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