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General NPI Number Information
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NPI Number | 1508606500
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Entity Type | Individual
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Provider Name | AUDREANA RIAS
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 225 W EMMITT AVE STE 1
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City | WAVERLY
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State | OH
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Zip | 45690-1076
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Country | US
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Telephone | 740-835-4054
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Fax | 740-784-4202
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Provider Business Mailing Address
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Address Line | 120 W MAIN ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1654
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Country | US
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Telephone | 740-207-2508
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Fax | 740-784-4202
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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