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General NPI Number Information
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NPI Number | 1396750170
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Entity Type | Organization
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Legal Business Name | PAOLO ZIZZO DO INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 5055 AVENIDA ENCINAS #100
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City | CARLSBAD
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State | CA
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Zip | 92008-4375
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Country | US
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Telephone | 760-448-4412
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Fax | 760-918-9006
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Provider Business Mailing Address
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Address Line | 5055 AVENIDA ENCINAS #100
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City | CARLSBAD
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State | CA
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Zip | 92008-4375
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Country | US
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Telephone | 760-448-4412
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Fax | 760-918-9006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAOLO VINCENT ZIZZO
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Credential | DO
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Telephone | 760-448-4412
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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 | 20A6835
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License Number State | CA
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