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General NPI Number Information
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NPI Number | 1578744330
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Entity Type | Organization
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Legal Business Name | VIZZINI CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 1437 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3435
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Country | US
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Telephone | 478-975-9648
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Fax | 478-975-9632
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Provider Business Mailing Address
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Address Line | 1437 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3435
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Country | US
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Telephone | 478-975-9648
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Fax | 478-975-9632
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. RICHARD PAUL VIZZINI
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Credential | D.C.
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Telephone | 478-975-9648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR007385
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License Number State | GA
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