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General NPI Number Information
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NPI Number | 1639806698
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Entity Type | Individual
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Provider Name | JADE GIOIA PIZZO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 15813 PAUL VEGA MD DR STE 100
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City | HAMMOND
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State | LA
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Zip | 70403-1431
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Country | US
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Telephone | 986-230-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 477 TIGER AVE
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City | COVINGTON
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State | LA
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Zip | 70433-5266
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Country | US
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Telephone | 504-220-4001
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 226747
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License Number State | LA
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