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General NPI Number Information
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NPI Number | 1790760916
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Entity Type | Individual
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Provider Name | MARK ANTHONY TOZZI DPM
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 6770 MAYFIELD RD STE 447
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2299
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Country | US
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Telephone | 216-545-4006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 295
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-0295
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Country | US
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Telephone | 216-545-4006
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Fax | 440-816-6755
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36-00-1729
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License Number State | OH
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