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General NPI Number Information
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NPI Number | 1275701435
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Entity Type | Organization
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Legal Business Name | JUDITH E RILEY MD PLC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 310 N WILMOT RD STE 306
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City | TUCSON
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State | AZ
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Zip | 85711-2628
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Country | US
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Telephone | 520-325-0865
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Fax | 520-325-4281
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Provider Business Mailing Address
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Address Line | 310 N WILMOT RD STE 306
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City | TUCSON
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State | AZ
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Zip | 85711-2628
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Country | US
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Telephone | 520-325-0865
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Fax | 520-325-4281
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUDITH E RILEY
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Credential | MD
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Telephone | 520-325-0865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13749
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License Number State | AZ
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