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General NPI Number Information
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NPI Number | 1366832784
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Entity Type | Individual
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Provider Name | CHRISTOPHER RIZZI LMP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2015
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Last Update Date | 01/24/2015
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Provider Practice Location Address
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Address Line | 7501 242ND PL SW
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City | EDMONDS
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State | WA
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Zip | 98026-8539
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Country | US
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Telephone | 808-987-0899
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 242ND PL SW
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City | EDMONDS
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State | WA
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Zip | 98026-8539
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Country | US
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Telephone | 808-987-0899
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA 60405904
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License Number State | WA
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