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General NPI Number Information
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NPI Number | 1780753798
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Entity Type | Individual
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Provider Name | MAHNAZ AZIMZADEH D.C
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD SUITE400
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-501-5553
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Fax | 818-501-2291
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD SUITE400
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-501-5553
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Fax | 818-501-2291
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 24277
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 24277
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License Number State | CA
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