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General NPI Number Information
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NPI Number | 1578775045
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Entity Type | Organization
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Legal Business Name | AZUSA DIALYSIS CENTER LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 312 N AZUSA AVE
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City | AZUSA
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State | CA
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Zip | 91702-3439
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Country | US
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Telephone | 909-542-2900
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Fax | 909-592-6000
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Provider Business Mailing Address
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Address Line | 1335 CYPRESS ST STE 207
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City | SAN DIMAS
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State | CA
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Zip | 91773-3539
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Country | US
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Telephone | 909-542-2900
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Fax | 909-592-6000
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AAMIR ZAIN JAMAL
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Credential | M.D.
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Telephone | 909-542-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 550000357
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License Number State | CA
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