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General NPI Number Information
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NPI Number | 1841378049
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Entity Type | Organization
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Legal Business Name | JOHN M RIZZO D.C.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 N CENTER ST
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City | EBENSBURG
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State | PA
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Zip | 15931-1622
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Country | US
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Telephone | 814-472-6050
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Fax | 814-472-9490
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Provider Business Mailing Address
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Address Line | 110 N CENTER ST PO BOX 813
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City | EBENSBURG
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State | PA
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Zip | 15931-1622
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Country | US
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Telephone | 814-472-6050
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Fax | 814-472-9490
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Authorized Official
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Title or Position | OWNER- SOLE PROPRIETOR
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Name | DR. JOHN M RIZZO
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Credential | DC
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Telephone | 814-472-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC005143L
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License Number State | PA
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