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General NPI Number Information
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NPI Number | 1376476978
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Entity Type | Individual
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Provider Name | SKYLAR RILEY
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1725 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-1307
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Country | US
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Telephone | 970-221-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 E HARMONY RD STE 130
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City | FORT COLLINS
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State | CO
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Zip | 80528-3110
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Country | US
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Telephone | 970-325-6278
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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