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General NPI Number Information
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NPI Number | 1912704123
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Entity Type | Individual
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Provider Name | RYAN MICHAEL RIZK
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Gender | Male
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 8950 UNIVERSITY BLVD STE 200A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9897
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Country | US
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Telephone | 843-414-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone | 866-370-8206
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12751
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License Number State | SC
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