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General NPI Number Information
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NPI Number | 1699953380
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Entity Type | Individual
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Provider Name | NICOLE ANGELA RIZKALLA MD
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 1800 ORLEANS ST # 6208
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City | BALTIMORE
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State | MD
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Zip | 21287-0010
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Country | US
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Telephone | 410-955-8465
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Fax | 410-955-0994
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Provider Business Mailing Address
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Address Line | 9910 FRANKLIN SQUARE DR # 2110
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City | BALTIMORE
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State | MD
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Zip | 21236-4902
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Country | US
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Telephone | 410-933-6423
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Fax | 410-933-1390
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | D74646
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | D74646
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A98426
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D74646
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License Number State | MD
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