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General NPI Number Information
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NPI Number | 1558608414
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Entity Type | Individual
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Provider Name | CAROLYN ABES AZURIN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2013
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4445 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92501-4135
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Country | US
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Telephone | 951-788-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 7598 SHORTHORN ST
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City | CHINO
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State | CA
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Zip | 91708-9111
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Country | US
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Telephone | 12-041-3133
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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 | 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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 008350
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 302931
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 035798
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 24368
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License Number State | MD
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