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General NPI Number Information
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NPI Number | 1225065014
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Entity Type | Individual
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Provider Name | STEVEN J RIZZOLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 421 KINGSLEY AVE STE 402
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City | ORANGE PARK
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State | FL
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Zip | 32073-4898
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Country | US
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Telephone | 904-264-8801
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Fax | 904-621-0566
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Provider Business Mailing Address
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Address Line | 160 LAUREL LN
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City | PONTE VEDRA
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State | FL
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Zip | 32082-3908
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Country | US
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Telephone | 406-260-7604
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME143567
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME143567
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License Number State | FL
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