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General NPI Number Information
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NPI Number | 1598017634
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Entity Type | Individual
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Provider Name | DAVID JAMES PIZZUTI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2012
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Last Update Date | 10/14/2012
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Provider Practice Location Address
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Address Line | 470 SANTA RITA AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-5828
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Country | US
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Telephone | 650-269-7626
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Fax | 650-473-6902
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Provider Business Mailing Address
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Address Line | 470 SANTA RITA AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-5828
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Country | US
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Telephone | 650-269-7626
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Fax | 650-473-6902
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G88102
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA05404700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 152564
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License Number State | NY
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