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General NPI Number Information
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NPI Number | 1871600072
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Entity Type | Organization
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Legal Business Name | AZONA COMPANY INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5965 W RAY RD #27
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City | CHANDLER
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State | AZ
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Zip | 85226
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Country | US
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Telephone | 480-705-9005
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Fax | 480-705-5021
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Provider Business Mailing Address
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Address Line | 5965 W RAY RD #27
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City | CHANDLER
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State | AZ
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Zip | 85226
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Country | US
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Telephone | 480-705-9005
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Fax | 480-705-5021
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RASOUL SALIM
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Credential |
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Telephone | 480-705-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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