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General NPI Number Information
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NPI Number | 1104951987
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Entity Type | Individual
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Provider Name | BARBARA ANN RILA PHD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 3530 FOREST LN STE 295
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City | DALLAS
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State | TX
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Zip | 75234-7910
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Country | US
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Telephone | 972-243-5817
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Fax | 866-596-1053
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | RANKIN
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State | TX
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Zip | 79778-0268
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Country | US
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Telephone | 432-693-2234
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Fax | 866-596-1053
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 22888
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License Number State | TX
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