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General NPI Number Information
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NPI Number | 1700049731
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Entity Type | Individual
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Provider Name | JILL MAZZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 501 S BUENA VISTA ST
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City | BURBANK
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State | CA
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Zip | 91505-4809
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Country | US
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Telephone | 818-847-6049
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Fax | 818-847-4842
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Provider Business Mailing Address
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Address Line | 191 S BUENA VISTA ST STE 320
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City | BURBANK
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State | CA
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Zip | 91505-4556
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Country | US
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Telephone | 818-559-9727
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Fax | 818-559-5514
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | A113348
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A113348
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License Number State | CA
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