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General NPI Number Information
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NPI Number | 1144629205
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Entity Type | Individual
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Provider Name | RALPH RIZK DO
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Gender | Male
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1045 RIVERSIDE AVE STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4148
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Country | US
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Telephone | 904-328-5979
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Fax | 904-619-9925
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Provider Business Mailing Address
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Address Line | 1045 RIVERSIDE AVE STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4148
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Country | US
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Telephone | 904-328-5979
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Fax | 904-619-9925
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS020026
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS14887
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License Number State | FL
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