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General NPI Number Information
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NPI Number | 1154693216
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH HIZER PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 7390 NW 5TH ST SUITE 3
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City | PLANTATION
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State | FL
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Zip | 33317-1610
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Country | US
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Telephone | 954-424-9300
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Fax | 954-424-3315
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Provider Business Mailing Address
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Address Line | 7050 NW 4TH ST STE 203
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City | PLANTATION
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State | FL
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Zip | 33317-2247
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Country | US
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Telephone | 954-424-9300
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Fax | 954-448-7022
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 3184
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License Number State | FL
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