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General NPI Number Information
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NPI Number | 1972704567
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Entity Type | Organization
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Legal Business Name | ROBERT DARDASHTI, D.C. INCORPORATED
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD SUITE 115
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City | ENCINO
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State | CA
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Zip | 91436-1914
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Country | US
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Telephone | 818-789-5560
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Fax | 818-789-7025
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD SUITE 115
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City | ENCINO
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State | CA
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Zip | 91436-1914
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Country | US
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Telephone | 818-789-5560
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Fax | 818-789-7025
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROBERT ELIA DARDASHTI
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Credential | DC
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Telephone | 818-789-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC20870
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License Number State | CA
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