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General NPI Number Information
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NPI Number | 1801716139
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Entity Type | Individual
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Provider Name | AMY JO RILEY
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 659 BOULEVARD ST
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City | DOVER
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State | OH
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Zip | 44622-2026
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Country | US
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Telephone | 330-343-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 2336 WAINWRIGHT RD SE
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-6837
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Country | US
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Telephone | 330-343-3311
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 298242
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License Number State | OH
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