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General NPI Number Information
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NPI Number | 1780826008
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Entity Type | Organization
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Legal Business Name | ROYA KAZEMI CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 22119 SHERMAN WAY
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City | CANOGA PARK
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State | CA
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Zip | 91303-1137
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Country | US
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Telephone | 818-888-5540
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Fax | 818-888-5704
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Provider Business Mailing Address
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Address Line | 22119 SHERMAN WAY
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City | CANOGA PARK
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State | CA
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Zip | 91303-1137
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Country | US
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Telephone | 818-888-5540
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Fax | 818-888-5704
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROYA E KAZEMI
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Credential | D.C.
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Telephone | 818-888-5540
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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 | DC27991
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License Number State | CA
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