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General NPI Number Information
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NPI Number | 1952304883
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Entity Type | Individual
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Provider Name | RICHARD PHILLIP RIZZUTI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 400 SPRING FOREST RD
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City | GREENVILLE
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State | NC
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Zip | 27834-7244
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Country | US
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Telephone | 252-758-6627
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Fax | 252-830-5138
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Provider Business Mailing Address
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Address Line | 707 JORDAN DR
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City | GREENVILLE
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State | NC
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Zip | 27834-9175
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Country | US
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Telephone | 252-756-4194
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Fax | 252-830-5138
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 28797
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License Number State | NC
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