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General NPI Number Information
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NPI Number | 1396416046
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH RIZZO PA
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Gender | Male
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1300 JEFFERSON RD STE 500
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City | ROCHESTER
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State | NY
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Zip | 14623-3195
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Country | US
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Telephone | 585-413-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 635
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City | ROCHESTER
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State | NY
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Zip | 14642-8655
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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