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General NPI Number Information
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NPI Number | 1801295944
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Entity Type | Organization
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Legal Business Name | ASALATI CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1393 SANTA RITA RD STE A
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City | PLEASANTON
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State | CA
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Zip | 94566-5667
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Country | US
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Telephone | 510-857-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 138 AMBERSTONE LN
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City | SAN RAMON
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State | CA
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Zip | 94582-5736
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Country | US
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Telephone | 510-857-3813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS MALIHA ASALATI
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Credential | D.C.
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Telephone | 510-857-3813
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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 | 25983
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License Number State | CA
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