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General NPI Number Information
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NPI Number | 1417790320
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Entity Type | Individual
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Provider Name | JOSEF NOAH J DIZON OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4597
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Country | US
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Telephone | 303-436-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 228 W POMONA AVE
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City | MONROVIA
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State | CA
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Zip | 91016-4790
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Country | US
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Telephone | 747-273-6473
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24131
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License Number State | CA
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