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General NPI Number Information
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NPI Number | 1285447854
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Entity Type | Individual
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Provider Name | RILEY RAMAGE ALC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 109 MEDICAL PARK DR STE C
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City | ANDALUSIA
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State | AL
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Zip | 36420-5364
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Country | US
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Telephone | 334-222-1818
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Fax | 334-222-1919
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | ANDALUSIA
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State | AL
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Zip | 36420-1204
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Country | US
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Telephone | 334-222-1818
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Fax | 334-222-1919
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | ALC05155
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License Number State | AL
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