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General NPI Number Information
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NPI Number | 1013048354
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Entity Type | Organization
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Legal Business Name | SYED M RIZVI MD LLC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 340 N MIDDLETOWN RD
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City | MEDIA
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State | PA
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Zip | 19063-5505
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Country | US
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Telephone | 610-891-5840
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | WYNNEWOOD
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State | PA
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Zip | 19096-0162
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Country | US
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Telephone | 610-291-2269
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED M RIZVI
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Credential | M.D.
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Telephone | 610-291-2269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD421641
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License Number State | PA
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