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General NPI Number Information
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NPI Number | 1598843427
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Entity Type | Individual
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Provider Name | JOHN PIZZOLLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 4207 UTOPIA PKWY
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City | FLUSHING
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State | NY
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Zip | 11358-2735
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Country | US
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Telephone | 718-463-1661
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Fax | 718-463-3716
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Provider Business Mailing Address
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Address Line | 3321 165TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-1443
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Country | US
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Telephone | 718-461-2299
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 174789
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License Number State | NY
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