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General NPI Number Information
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NPI Number | 1992570048
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Entity Type | Individual
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Provider Name | RILEY JAMES HARRIS
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Gender | Male
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 450 BEDFORD ST STE 2400
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City | LEXINGTON
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State | MA
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Zip | 02420-1544
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Country | US
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Telephone | 781-633-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 THACHER RD
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City | OJAI
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State | CA
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Zip | 93023-8304
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Country | US
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Telephone | 732-232-8500
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW2140419
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License Number State | MA
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