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General NPI Number Information
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NPI Number | 1962495366
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Entity Type | Individual
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Provider Name | CINDY L RILEY M.S,, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1015 BEAGLIN PARK DR
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City | SALISBURY
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State | MD
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Zip | 21804-9311
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Country | US
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Telephone | 410-677-5143
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 BECKFORD CT
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City | SALISBURY
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State | MD
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Zip | 21804-2061
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Country | US
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Telephone | 443-944-0886
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | MD
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