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General NPI Number Information
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NPI Number | 1013398635
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Entity Type | Individual
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Provider Name | CYNTHIA RIVERA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 1010 OREGON AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-3849
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Country | US
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Telephone | 203-556-6076
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Fax |
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Provider Business Mailing Address
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Address Line | 1069 JAMES DR
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City | KISSIMMEE
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State | FL
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Zip | 34759-5945
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Country | US
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Telephone | 203-556-6076
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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