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General NPI Number Information
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NPI Number | 1841779790
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Entity Type | Individual
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Provider Name | TIMOTHY FRANK RIZZO RNFA
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Gender | Male
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Dates
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Enumeration Date | 08/11/2018
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Last Update Date | 08/11/2018
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Provider Practice Location Address
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Address Line | 3700 SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90712-1419
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Country | US
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Telephone | 562-531-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 829 VIA LORENTE
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City | CAMARILLO
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State | CA
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Zip | 93012-8174
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Country | US
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Telephone | 559-303-2371
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Fax |
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 377834
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License Number State | CA
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