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General NPI Number Information
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NPI Number | 1326205071
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Entity Type | Organization
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Legal Business Name | JOHN PIZZOLLA MD PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 42-07 UTOPIA PKWY
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City | FLUSHING
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State | NY
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Zip | 11358-2735
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Country | US
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Telephone | 718-463-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 42-07 UTOPIA PKWY
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City | FLUSHING
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State | NY
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Zip | 11358-2735
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Country | US
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Telephone | 718-463-1661
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PIZZOLLA
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Credential |
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Telephone | 718-463-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 174789-1
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License Number State | NY
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