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Pizzuti seems to have, besides the main nucleus in Lazio, also a lineage between Neapolitan and Salerno and one in the Cosenza area, Pizzuto has a stock in Molise that should derive from the toponym Castelpizzuto (IS), one in Puglia and one in Sicily, these surnames should derive from place names linked to the word pizzo (top) and would indicate the origin from a mountain locality such as Monte Pizzuto in the Rieti area.
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