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General NPI Number Information
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NPI Number | 1063640761
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Entity Type | Individual
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Provider Name | CARA JOY RILEY DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 13123 E 16TH AVE # B240
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-6788
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Fax |
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Provider Business Mailing Address
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Address Line | 13123 E 16TH AVE # B240
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-3488
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 10727
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 9366
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | DEN.00010727
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License Number State | CO
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