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General NPI Number Information
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NPI Number | 1922551167
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Entity Type | Individual
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Provider Name | RIGOBERTO DE JESUS PIZARRO
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Gender | Male
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Dates
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Enumeration Date | 07/23/2016
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 400 MEDICAL PLZ STE 100
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-1493
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Country | US
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Telephone | 636-639-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE # CB8056
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2022019833
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License Number State | MO
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