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General NPI Number Information
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NPI Number | 1609737501
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Entity Type | Individual
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Provider Name | DEHJA RILEY
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3964 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33054-6291
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Country | US
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Telephone | 786-530-5410
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Fax | 786-530-5424
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Provider Business Mailing Address
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Address Line | 2652 SW 135TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-3883
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Country | US
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Telephone | 954-647-7115
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW22265
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License Number State | FL
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