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General NPI Number Information
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NPI Number | 1942479472
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Entity Type | Individual
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Provider Name | PEJMAN POURARBAB D.C
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Gender | Male
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 4151 N 32ND ST #B
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City | PHOENIX
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State | AZ
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Zip | 85018-4701
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Country | US
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Telephone | 602-522-2273
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Fax | 602-553-2272
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Provider Business Mailing Address
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Address Line | 4151 N. 32ND ST. #B
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City | PHOENIX
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State | AZ
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Zip | 85018
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Country | US
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Telephone | 602-522-2273
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Fax | 602-553-2272
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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 | 7052
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License Number State | AZ
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