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General NPI Number Information
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NPI Number | 1235243791
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Entity Type | Organization
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Legal Business Name | PAT RILEY M.D. & ASSOCIATES
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2007
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Country | US
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Telephone | 215-335-6659
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Fax |
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Provider Business Mailing Address
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Address Line | 23 N DELSEA DR UNIT B
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City | CLAYTON
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State | NJ
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Zip | 08312-1637
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Country | US
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Telephone | 856-423-7700
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Fax | 856-423-0823
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAT RILEY
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Credential | M.D.
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Telephone | 610-322-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD060054L
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License Number State | PA
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