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NPI Code Detail

MEDICARE: ABIGAIL RILEY CPO

MEDICARE: ABIGAIL RILEY CPO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224P00000XProsthetistCPO05792VA
2222Z00000XOrthotistCPO05792VA

General Provider Information

NPI Number : 1538053889
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL RILEY CPO
Provider Business Mailing Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number : 757-892-5300
Provider Business Practice Location Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number : 757-892-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2025
Last Update Date : 12/19/2025

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