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General NPI Number Information
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NPI Number | 1992651418
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Entity Type | Individual
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Provider Name | ELENA RILEY NP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 16465 SIERRA LAKES PKWY STE 115
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City | FONTANA
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State | CA
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Zip | 92336-1242
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Country | US
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Telephone | 909-823-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 11450 CHURCH ST APT 168 APT 168
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3992
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Country | US
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Telephone | 909-563-0875
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95038577
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License Number State | CA
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