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General NPI Number Information
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NPI Number | 1144665159
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Entity Type | Individual
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Provider Name | JOHN PIZANIS
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Gender | Male
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 539 STODDARD AVE
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City | EAST LANSING
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State | MI
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Zip | 48823-3626
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Country | US
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Telephone | 517-862-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 539 STODDARD AVE
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City | EAST LANSING
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State | MI
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Zip | 48823-3626
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Country | US
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Telephone | 517-862-2411
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801110725
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License Number State | MI
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