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General NPI Number Information
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NPI Number | 1326008293
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH PIZZO MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 4612 N HABANA AVE SUITE 101
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City | TAMPA
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State | FL
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Zip | 33614-7112
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Country | US
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Telephone | 813-870-0764
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Fax | 813-877-4499
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Provider Business Mailing Address
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Address Line | 4612 N HABANA AVE SUITE 101
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City | TAMPA
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State | FL
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Zip | 33614-7112
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Country | US
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Telephone | 813-870-0764
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Fax | 813-877-4499
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME24499
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License Number State | FL
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