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General NPI Number Information
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NPI Number | 1710262308
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Entity Type | Individual
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Provider Name | CHERYL LYNN RIWITIS NP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2401 W UNIVERSITY AVE
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City | MUNCIE
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State | IN
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Zip | 47303-3428
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Country | US
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Telephone | 765-741-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 950 N MERIDIAN ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3908
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Country | US
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Telephone | 317-962-4942
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Fax | 317-962-4950
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71003761
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28088897
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71003761A
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License Number State | IN
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