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General NPI Number Information
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NPI Number | 1477157162
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Entity Type | Individual
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Provider Name | HANNAH LEIGH BRIZZOLARA MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3333 S PINNACLE HILLS PKWY STE 300B
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City | ROGERS
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State | AR
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Zip | 72758-9000
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Country | US
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Telephone | 479-338-6086
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 776084
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City | CHICAGO
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State | IL
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Zip | 60677-6084
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Country | US
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Telephone | 479-986-6085
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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