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General NPI Number Information
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NPI Number | 1457578031
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Entity Type | Individual
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Provider Name | RIZWAN MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 420 E 6TH ST STE 101
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City | ODESSA
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State | TX
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Zip | 79761-4537
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Country | US
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Telephone | 432-614-6376
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Fax | 432-310-1220
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Provider Business Mailing Address
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Address Line | 420 E 6TH ST STE 101
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City | ODESSA
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State | TX
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Zip | 79761-4537
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Country | US
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Telephone | 432-614-6376
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Fax | 432-310-1220
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01055315A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 01055315A
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License Number State | IN
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