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General NPI Number Information
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NPI Number | 1891195848
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Entity Type | Individual
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Provider Name | DEMETRIOS RIZIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 462 1ST AVENUE BELLEVUE HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 914-330-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 PLACE FRANCOISE-LORANGER
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City | MONTREAL
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State | QUEBEC
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Zip | H4R 2Y2
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Country | CA
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Telephone | 514-975-9336
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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