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General NPI Number Information
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NPI Number | 1801154067
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Entity Type | Individual
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Provider Name | SHAHRAM SOLEIMANI D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 7301 GIRARD AVE SUITE 303
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City | LA JOLLA
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State | CA
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Zip | 92037-5125
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Country | US
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Telephone | 818-424-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 9388 TWIN TRAILS DR UNIT 203
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City | SAN DIEGO
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State | CA
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Zip | 92129-2672
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Country | US
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Telephone | 818-424-3509
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Fax |
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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 | 32288
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License Number State | CA
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