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General NPI Number Information
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NPI Number | 1457572570
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Entity Type | Individual
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Provider Name | FREDERICK RYAN RILEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 406 WEST JORDAN RIVER PARKWAY SUITE 220
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City | SOUTH JORDAN
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State | UT
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Zip | 84065-4321
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Country | US
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Telephone | 801-891-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 14187 TEMPEST RIDGE CIR
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City | HERRIMAN
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State | UT
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Zip | 84096-1873
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Country | US
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Telephone | 801-891-8281
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4788890-3501
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License Number State | UT
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