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General NPI Number Information
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NPI Number | 1508556853
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Entity Type | Individual
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Provider Name | RILEY E MULLINS DC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 616 W 5TH AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-2914
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Country | US
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Telephone | 630-542-6975
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Fax |
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Provider Business Mailing Address
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Address Line | 392 E 17TH PL
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City | LOMBARD
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State | IL
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Zip | 60148-4926
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Country | US
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Telephone | 630-542-6975
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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 | 038.013960
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License Number State | IL
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