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General NPI Number Information
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NPI Number | 1992036537
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Entity Type | Individual
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Provider Name | RIZWAN RIYAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 50 HURT PLZ SE STE 600 GEORGIA POISON CENTER
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City | ATLANTA
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State | GA
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Zip | 30303-2915
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Country | US
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Telephone | 678-510-9236
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Fax | 404-230-8967
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Provider Business Mailing Address
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Address Line | 3450 MILLER DR APPARTMENT #1228
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City | ATLANTA
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State | GA
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Zip | 30341-2726
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Country | US
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Telephone | 678-510-9236
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Fax | 404-230-8967
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3980
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License Number State | GA
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