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General NPI Number Information
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NPI Number | 1790087658
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Entity Type | Organization
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Legal Business Name | ZIMMERMAN AND SHAHBAZIAN CHIROPRACTIC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 1039 FOOTHILL BLVD SUITE A
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City | LA CANADA
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State | CA
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Zip | 91011-3249
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Country | US
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Telephone | 818-952-0172
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Fax | 818-952-2013
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Provider Business Mailing Address
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Address Line | 1039 FOOTHILL BLVD SUITE A
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City | LA CANADA
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State | CA
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Zip | 91011-3249
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Country | US
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Telephone | 818-952-0172
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Fax | 818-952-2013
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Authorized Official
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Title or Position | PRESIDENT
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Name | RION ZIMMERMAN
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Credential | DC
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Telephone | 818-952-0172
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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 | DC30044
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License Number State | CA
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