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General NPI Number Information
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NPI Number | 1689749970
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Entity Type | Individual
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Provider Name | TERRY RILEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 4150 MISSION BLVD STE 145
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City | SAN DIEGO
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State | CA
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Zip | 92109-5055
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Country | US
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Telephone | 858-272-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 8555 STATION VILLAGE LN STE B
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City | SAN DIEGO
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State | CA
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Zip | 92108-6567
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Country | US
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Telephone | 619-284-3883
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Fax | 619-295-1795
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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 | DC-24573
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License Number State | CA
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