{
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"OrgName": "RICHARD RIZZUTO MD PA",
"LastName": null,
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"FirstLineMailingAddress": "3938 STATE ROAD 64 EAST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRADENTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34208-9059",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-746-5900",
"MailingAddressFaxNumber": "941-746-5922",
"FirstLinePracticeLocationAddress": "3938 E STATE ROAD 64",
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"PracticeLocationAddressCityName": "BRADENTON",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-746-5900",
"PracticeLocationAddressFaxNumber": "941-746-5922",
"EnumerationDate": "03/26/2010",
"LastUpdateDate": "03/26/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIZZUTO",
"AuthorizedOfficialFirstName": "MICHELLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "941-727-1530",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "ME85272",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}