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General NPI Number Information
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NPI Number | 1285949818
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Entity Type | Individual
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Provider Name | ALLEN AZIZIAN PHD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 24511 W JAYNE AVE
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City | COALINGA
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State | CA
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Zip | 93210-9503
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Country | US
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Telephone | 818-247-3392
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N CEDAR ST APT 8
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City | GLENDALE
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State | CA
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Zip | 91206-4938
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Country | US
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Telephone | 818-247-3392
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 22770
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License Number State | CA
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