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General NPI Number Information
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NPI Number | 1083171144
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Entity Type | Individual
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Provider Name | PARISSA KIMIA VIZZA MSN, RN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6855 WILSON BLVD STE 2
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3600
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Country | US
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Telephone | 561-509-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 13490 GRAN BAY PKWY UNIT 3
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City | JACKSONVILLE
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State | FL
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Zip | 32258-7446
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Country | US
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Telephone | 617-850-2465
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Fax |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95011264
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11038252
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95168487
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License Number State | CA
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