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General NPI Number Information
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NPI Number | 1306719570
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Entity Type | Individual
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Provider Name | KATY RIEKER CNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 6559 WILSON MILLS RD STE 106A
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City | MAYFIELD VILLAGE
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State | OH
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Zip | 44143-3433
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Country | US
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Telephone | 855-449-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 4952 FAIRLAWN RD
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City | LYNDHURST
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State | OH
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Zip | 44124-1123
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | OO37410
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 0037410
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License Number State | OH
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