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General NPI Number Information
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NPI Number | 1093853939
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Entity Type | Individual
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Provider Name | PATRICK NUZZO DN
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 3600 CERRILLOS RD SUITE 407
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City | SANTA FE
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State | NM
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Zip | 87507-2612
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Country | US
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Telephone | 505-424-8990
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Fax | 505-424-6377
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Provider Business Mailing Address
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Address Line | 2006 BOTULPH RD SUITE A
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-424-8990
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Fax | 505-424-6377
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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 | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181000111
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 181.000111
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0001
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 0001
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License Number State | NM
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