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General NPI Number Information
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NPI Number | 1902011471
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Entity Type | Individual
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Provider Name | MELISSA KAE RILEY D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 44 N 1ST AVENUE. SUITE B
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City | CLARION
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State | PA
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Zip | 16214
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Country | US
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Telephone | 814-226-5600
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Fax | 814-226-5611
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Provider Business Mailing Address
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Address Line | 321 SHOFFSTALL RD
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City | BROOKVILLE
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State | PA
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Zip | 15825-8771
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Country | US
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Telephone | 814-220-0028
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Fax | 814-226-7076
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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 | DC009147
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License Number State | PA
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