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General NPI Number Information
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NPI Number | 1548230428
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Entity Type | Individual
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Provider Name | SAM M. RIZK M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 6001 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1502
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Country | US
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Telephone | 614-552-0061
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Fax | 614-552-0168
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Provider Business Mailing Address
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Address Line | 12941 STONECREEK DR UNIT A
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City | PICKERINGTON
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State | OH
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Zip | 43147-8424
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Country | US
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Telephone | 614-552-0061
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Fax | 614-552-0168
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35.062466
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License Number State | OH
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