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General NPI Number Information
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NPI Number | 1205981925
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Entity Type | Individual
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Provider Name | SHARON LAMBERT RILEY D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 604 GREEN ST NE STE. 2
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City | GAINESVILLE
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State | GA
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Zip | 30501-3354
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Country | US
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Telephone | 770-287-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 ETTA VESTA CIR
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City | GAINESVILLE
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State | GA
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Zip | 30501-1154
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Country | US
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Telephone | 770-534-5695
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5112
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License Number State | GA
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