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General NPI Number Information
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NPI Number | 1548009988
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Entity Type | Organization
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Legal Business Name | AZZI ENT & FACIAL RECONSTRUCTIVE SURGERY PA
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 2151 S ALT A1A STE 425
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City | JUPITER
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State | FL
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Zip | 33477-4070
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Country | US
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Telephone | 561-979-2001
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Fax | 561-462-0852
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Provider Business Mailing Address
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Address Line | 2151 S ALT A1A STE 425
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City | JUPITER
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State | FL
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Zip | 33477-4070
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Country | US
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Telephone | 561-979-2001
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Fax | 561-462-0852
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES AZZI
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Credential | MD
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Telephone | 772-486-4790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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