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General NPI Number Information
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NPI Number | 1518854074
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Entity Type | Individual
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Provider Name | RILEY ELIZABETH DAVID OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 580
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5381
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Country | US
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Telephone | 719-597-0822
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Fax | 719-599-4606
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Provider Business Mailing Address
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Address Line | 685 CITADEL DR E STE 580
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5381
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Country | US
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Telephone | 719-597-0822
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Fax | 719-599-4606
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT.0008911
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License Number State | CO
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