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General NPI Number Information
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NPI Number | 1336068410
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Entity Type | Individual
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Provider Name | RILEY PARKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 4501 JOE RAMSEY BLVD E STE 100
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City | GREENVILLE
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State | TX
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Zip | 75401-7843
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Country | US
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Telephone | 903-408-5800
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Fax | 903-455-8232
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Provider Business Mailing Address
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Address Line | 375 W GREENBRIAR RD APT E209
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City | FATE
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State | TX
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Zip | 75189-5813
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Country | US
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Telephone | 254-913-4429
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20448
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License Number State | TX
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