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General NPI Number Information
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NPI Number | 1487656369
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Entity Type | Individual
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Provider Name | ANDREW J. RILEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 489 S STATE ROAD 135 STE. A
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City | GREENWOOD
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State | IN
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Zip | 46142-1400
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Country | US
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Telephone | 317-889-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 489 S STATE ROAD 135 STE. A
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City | GREENWOOD
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State | IN
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Zip | 46142-1400
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001919A
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License Number State | IN
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