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General NPI Number Information
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NPI Number | 1275409427
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Entity Type | Individual
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Provider Name | SAMANTHA JANE RILEY DC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3300 GRANT AVE STE 20
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2632
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Country | US
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Telephone | 888-245-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 11806 MILLBROOK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-3711
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Country | US
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Telephone | 602-697-2548
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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 | DC012075
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License Number State | PA
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