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General NPI Number Information
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NPI Number | 1952256513
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Entity Type | Organization
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Legal Business Name | AZADEH SHAMS CHIROPRACTIC INC.
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 910 S EL CAMINO REAL STE 100
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4279
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Country | US
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Telephone | 970-825-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 85 ARGONAUT STE 180
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4128
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Country | US
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Telephone | 970-825-3071
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | AZADEH SHAMS
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Credential | DC
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Telephone | 970-825-3071
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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 |
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License Number State |
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