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NPI 1780388967

NPI 1780388967 : ALIREZA CHIZARI DC : CALABASAS, CA

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General NPI Number Information
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    NPI Number           |    1780388967
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    Entity Type          |    Individual 
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    Provider Name        |    ALIREZA CHIZARI DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2023
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    Last Update Date     |    02/19/2025
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Provider Practice Location Address
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    Address Line         |    4768 PARK GRANADA STE 107 
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    City                 |    CALABASAS
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    State                |    CA
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    Zip                  |    91302-3312
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    Country              |    US
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    Telephone            |    818-649-5300
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    Fax                  |    747-322-7246
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Provider Business Mailing Address
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    Address Line         |    4768 PARK GRANADA STE 107 
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    City                 |    CALABASAS
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    State                |    CA
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    Zip                  |    91302-3312
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    Country              |    US
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    Telephone            |    818-649-5300
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    Fax                  |    747-322-7246
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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       |    DC36634
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    License Number State |    CA
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