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General NPI Number Information
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NPI Number | 1225499874
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Entity Type | Individual
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Provider Name | RHESA RILEY
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Gender | Female
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 2001 BLUE HERON BLVD W.
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City | RIVIERA BEACH
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State | FL
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Zip | 33404
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Country | US
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Telephone | 240-461-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 3171 VILLAGE BLVD APT 107
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7406
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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