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General NPI Number Information
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NPI Number | 1043400286
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Entity Type | Organization
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Legal Business Name | COLUZZI & TETEF MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 4746 BARRANCA PKWY
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City | IRVINE
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State | CA
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Zip | 92604-4728
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Country | US
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Telephone | 949-653-9013
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Fax |
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Provider Business Mailing Address
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Address Line | 4746 BARRANCA PKWY
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City | IRVINE
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State | CA
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Zip | 92604-4728
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Country | US
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Telephone | 949-653-9013
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Fax |
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Authorized Official
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Title or Position | CLIENT SERVICE REP
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Name | MARISA CASANOVA
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Credential |
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Telephone | 714-619-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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