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General NPI Number Information
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NPI Number | 1972814119
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Entity Type | Individual
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Provider Name | ANDREA K RIZZIE DPT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 10315 HAMPTONS PARK DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7217
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Country | US
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Telephone | 704-323-2809
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Fax | 704-323-3991
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Provider Business Mailing Address
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Address Line | PO BOX 601791
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City | CHARLOTTE
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State | NC
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Zip | 28260-1791
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020545
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P12564
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License Number State | NC
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