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General NPI Number Information
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NPI Number | 1902119316
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Entity Type | Individual
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Provider Name | MARIA RIZZA DELIZO MARIANO MD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 2804 SOUTHMOST RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4787
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Country | US
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Telephone | 956-525-7576
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Fax | 956-525-7503
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Provider Business Mailing Address
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Address Line | 2804 SOUTHMOST RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4787
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Country | US
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Telephone | 956-525-7576
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Fax | 956-525-7503
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301096213
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301096213
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P5840
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License Number State | TX
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