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General NPI Number Information
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NPI Number | 1942450770
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Entity Type | Individual
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Provider Name | NADER KHALILI D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD STE 1410
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City | LOS ANGELES
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State | CA
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Zip | 90048-5815
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Country | US
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Telephone | 323-934-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 226 N CRESCENT DR APT 301
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4810
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Country | US
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Telephone | 310-279-9856
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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 | 24444
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License Number State | CA
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