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General NPI Number Information
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NPI Number | 1720887482
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Entity Type | Individual
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Provider Name | NANCY MARIE RILEE CSAC-S
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 20500 WARRIORS WAY
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City | MILFORD
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State | VA
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Zip | 22514-2867
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Country | US
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Telephone | 757-259-5886
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Fax |
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Provider Business Mailing Address
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Address Line | 205 CHARDONNAY ROAD
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City | WILLIAMSBURG
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State | VA
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Zip | 23185
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Country | US
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Telephone | 757-259-5886
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0709025986
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License Number State | VA
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