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General NPI Number Information
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NPI Number | 1164344719
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Entity Type | Individual
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Provider Name | RILEY DEAN PTA
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 24077 COUNTRY LIVING RD STE 8
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City | MILLSBORO
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State | DE
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Zip | 19966-3188
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Country | US
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Telephone | 302-648-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 212 NE 4TH ST
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City | MILFORD
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State | DE
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Zip | 19963-1475
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Country | US
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Telephone | 302-757-3577
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | J2-0011650
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License Number State | DE
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