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General NPI Number Information
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NPI Number | 1568386035
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Entity Type | Individual
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Provider Name | HARRISON RILEY
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Gender | Male
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 455 LEGENDS PL SE STE 890
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City | ATLANTA
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State | GA
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Zip | 30339-4245
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Country | US
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Telephone | 404-418-9090
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Fax | 770-726-0942
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Provider Business Mailing Address
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Address Line | 275 INTERSTATE NORTH CIR SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-2565
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018487
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License Number State | GA
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