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General NPI Number Information
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NPI Number | 1386555159
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Entity Type | Individual
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Provider Name | LORA RILEY
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Gender | Female
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 4250 HOSPITAL DR
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City | MARIANNA
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State | FL
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Zip | 32446-1917
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Country | US
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Telephone | 850-526-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 20765 NE DAN PARRISH RD
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-4714
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Country | US
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Telephone | 850-447-4744
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9392881
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License Number State | FL
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