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General NPI Number Information
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NPI Number | 1760929350
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Entity Type | Individual
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Provider Name | SHABNAM ASHTIANI D.C., M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 1270 N LOOP 1604 E STE 1202
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1370
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Country | US
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Telephone | 210-926-5766
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Fax | 210-926-5767
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Provider Business Mailing Address
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Address Line | 1270 N LOOP 1604 E STE 1202
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1370
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Country | US
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Telephone | 210-926-5766
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Fax | 210-926-5767
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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 | 13390
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License Number State | TX
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