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General NPI Number Information
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NPI Number | 1457583981
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Entity Type | Organization
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Legal Business Name | FRANK IZZO, DDS PLLC
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 3049 BROADWAY
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City | SCHENECTADY
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State | NY
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Zip | 12306-2131
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Country | US
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Telephone | 518-344-5430
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Fax |
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Provider Business Mailing Address
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Address Line | 3049 BROADWAY
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City | SCHENECTADY
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State | NY
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Zip | 12306-2131
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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 | PRES
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Name | DR. FRANK IZZO
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Credential |
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Telephone | 518-344-5430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 042826
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License Number State | NY
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