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General NPI Number Information
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NPI Number | 1124965314
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Entity Type | Organization
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Legal Business Name | ROBERTO RIVERA CHIROPRACTIC P.C
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 640 TERMINAL WAY
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City | COSTA MESA
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State | CA
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Zip | 92627-3616
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Country | US
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Telephone | 718-702-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 640 TERMINAL WAY
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City | COSTA MESA
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State | CA
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Zip | 92627-3616
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Country | US
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Telephone | 718-702-9450
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROBERTO RIVERA JR.
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Credential | DC
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Telephone | 718-702-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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