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General NPI Number Information
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NPI Number | 1811555014
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Entity Type | Organization
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Legal Business Name | PINNACLE ENT & ALLERGY CONSULTANTS LLC
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 16841 N 31ST AVE BLDG 2
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City | PHOENIX
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State | AZ
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Zip | 85053-3029
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Country | US
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Telephone | 602-843-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 16841 N 31ST AVE BLDG 2
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City | PHOENIX
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State | AZ
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Zip | 85053-3029
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Country | US
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Telephone | 602-843-4844
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. BRIAN S RIZZO
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Credential | D.O.
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Telephone | 602-843-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number |
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License Number State |
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