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General NPI Number Information
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NPI Number | 1699401497
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Entity Type | Organization
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Legal Business Name | IZZO FOOT AND ANKLE PC
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 255 S 8TH ST
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City | JEANNETTE
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State | PA
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Zip | 15644-3422
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Country | US
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Telephone | 724-523-6700
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Fax | 724-523-2242
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Provider Business Mailing Address
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Address Line | 984 STATE ROUTE 271
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City | LIGONIER
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State | PA
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Zip | 15658-2570
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Country | US
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Telephone | 724-396-0933
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARIBETH IZZO
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Credential | RN
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Telephone | 724-244-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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