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General NPI Number Information
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NPI Number | 1831317056
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Entity Type | Individual
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Provider Name | MARINA PIZARRO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 147 E LYMAN AVE SUITE D
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City | WINTER PARK
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State | FL
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Zip | 32789-4396
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Country | US
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Telephone | 407-296-6226
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Fax | 407-351-1292
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Provider Business Mailing Address
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Address Line | 7784 CHAPELHILL DR
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City | ORLANDO
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State | FL
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Zip | 32819-5090
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Country | US
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Telephone | 407-923-4476
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Fax | 407-351-1292
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME62980
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License Number State | FL
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