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General NPI Number Information
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NPI Number | 1356060552
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Entity Type | Individual
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Provider Name | RILEY EVANS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 27777 INKSTER RD STE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5312
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Country | US
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Telephone | 248-436-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 E MAIN ST
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City | MESA
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State | AZ
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Zip | 85203
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Country | US
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Telephone | 602-785-3555
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA16732
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License Number State | AZ
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