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General NPI Number Information
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NPI Number | 1194553362
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Entity Type | Individual
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Provider Name | CHRISTOPHER WILLIAM RILEY DPT
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Gender | Male
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 6450 S BOSTON ST
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5336
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Country | US
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Telephone | 303-224-9455
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Fax |
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Provider Business Mailing Address
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Address Line | 11 AUSTIN ACRES
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City | CATSKILL
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State | NY
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Zip | 12414-2119
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Country | US
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Telephone | 519-291-6031
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0019613
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License Number State | CO
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