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General NPI Number Information
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NPI Number | 1295863645
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Entity Type | Organization
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Legal Business Name | AZON INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 990 E DEL MAR BLVD
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City | PASADENA
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State | CA
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Zip | 91106-3252
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Country | US
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Telephone | 626-577-0215
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Fax | 626-577-2180
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Provider Business Mailing Address
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Address Line | 2661 OLYMPIC VIEW DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-1306
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Country | US
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Telephone | 909-636-8394
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Fax | 909-590-3989
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLAN P DIZON
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Credential | MPT
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Telephone | 909-636-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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