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General NPI Number Information
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NPI Number | 1093661167
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Entity Type | Organization
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Legal Business Name | RILEY CONSULTING GROUP LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1213 LOYALTY LN
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City | WYLIE
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State | TX
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Zip | 75098-1995
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Country | US
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Telephone | 323-244-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 LOYALTY LN
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City | WYLIE
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State | TX
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Zip | 75098-1995
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Country | US
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Telephone | 323-244-0400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RALF WANCHA
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Credential | APRN
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Telephone | 323-244-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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