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General NPI Number Information
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NPI Number | 1790983534
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Entity Type | Individual
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Provider Name | ELIZABETH PACIA DI LUOZZO DDS
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 580 COLONIAL AVE
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City | PELHAM
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State | NY
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Zip | 10803-2120
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Country | US
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Telephone | 914-738-2195
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Fax | 914-738-5789
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Provider Business Mailing Address
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Address Line | 580 COLONIAL AVE
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City | PELHAM
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State | NY
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Zip | 10803-2120
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Country | US
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Telephone | 914-738-2195
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Fax | 914-738-5789
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 009791
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 054103
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 054103
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License Number State | NY
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