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NPI 1942402201

NPI 1942402201 : JAVAD NAJIB D.C. : INDIO, CA

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General NPI Number Information
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    NPI Number           |    1942402201
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    Entity Type          |    Individual 
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    Provider Name        |    JAVAD NAJIB D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2007
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    Last Update Date     |    01/30/2023
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Provider Practice Location Address
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    Address Line         |    81557 DOCTOR CARREON BLVD STE B2-B3 
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    City                 |    INDIO
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    State                |    CA
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    Zip                  |    92201-5517
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    Country              |    US
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    Telephone            |    760-647-0647
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    Fax                  |    760-600-9192
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Provider Business Mailing Address
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    Address Line         |    1230 CALLE PROSPERO 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92069-7341
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    Country              |    US
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    Telephone            |    949-394-6223
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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        |    111NR0400X
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    Taxonomy Name        |    Rehabilitation Chiropractor
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    License Number       |    DC23073
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    License Number State |    CA
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