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General NPI Number Information
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NPI Number | 1083177539
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Entity Type | Individual
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Provider Name | RAFFAELLA PIZIO SA-C , FS, IMG
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Gender | Female
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2288 TEQUESTA WAY
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City | MIAMI
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State | FL
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Zip | 33133-3106
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Country | US
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Telephone | 305-308-7799
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Fax |
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Provider Business Mailing Address
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Address Line | 2288 TEQUESTA WAY
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City | MIAMI
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State | FL
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Zip | 33133-3106
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Country | US
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Telephone | 305-308-7799
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 19-171
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9640271
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License Number State | FL
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