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General NPI Number Information
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NPI Number | 1033475215
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Entity Type | Individual
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Provider Name | JAMES CRISTOPHER IZZANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 700 S PERRY ST JOHNSTOWN OB/GYN HEALTH CENTER
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3213
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Country | US
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Telephone | 518-736-1004
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Fax | 518-762-8829
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Provider Business Mailing Address
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Address Line | 700 S PERRY ST JOHNSTOWN OB/GYN HEALTH CENTER
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3213
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Country | US
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Telephone | 518-736-1004
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Fax | 518-762-8829
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 285481
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License Number State | NY
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