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General NPI Number Information
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NPI Number | 1093138521
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Entity Type | Individual
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Provider Name | GABRIELLA RIVERA L.AC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 1780 S BELLAIRE ST SUITE 605
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City | DENVER
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State | CO
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Zip | 80222-4307
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Country | US
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Telephone | 303-903-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 ELM ST APT 2
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City | DENVER
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State | CO
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Zip | 80220-1254
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Country | US
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Telephone | 303-903-2270
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002079
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15594
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License Number State | CA
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