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General NPI Number Information
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NPI Number | 1003056821
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Entity Type | Individual
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Provider Name | ALLYSON JEAN PIZZO-BERKEY MD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD SUITE 305
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-612-7430
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Fax | 949-612-7431
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Provider Business Mailing Address
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Address Line | 351 HOSPITAL RD SUITE 305
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-612-7430
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Fax | 949-612-7431
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G077666
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License Number State | CA
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