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General NPI Number Information
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NPI Number | 1437915576
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Entity Type | Individual
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Provider Name | MATTHEW RAMON RIZZI
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Gender | Male
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 16001 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4818
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Country | US
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Telephone | 248-849-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 54202 EGO DR
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City | MACOMB
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State | MI
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Zip | 48042-2210
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Country | US
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Telephone | 586-914-5291
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704323730
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704323730
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License Number State | MI
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