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General NPI Number Information
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NPI Number | 1023746716
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Entity Type | Individual
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Provider Name | MILTON DAVID RIVEROS MS, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 54 WILSON ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2024
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Country | US
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Telephone | 860-422-0568
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Fax |
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Provider Business Mailing Address
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Address Line | 54 WILSON ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2024
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Country | US
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Telephone | 860-422-0568
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 025240-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC14995
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5946
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0006631
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 48.004623
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License Number State | CT
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