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General NPI Number Information
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NPI Number | 1952692477
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Entity Type | Individual
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Provider Name | NIMIRA SAMIR ALIBHOY DC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 12/31/2021
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Provider Practice Location Address
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Address Line | 28348 ROADSIDE DR STE 105
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2595
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Country | US
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Telephone | 58-244-6769
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Fax |
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Provider Business Mailing Address
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Address Line | 28348 ROADSIDE DR STE 105
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2595
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Country | US
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Telephone | 805-244-6769
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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 | 31814
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License Number State | CA
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