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General NPI Number Information
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NPI Number | 1134933609
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Entity Type | Individual
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Provider Name | JEICY RIVAS
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 665 NE 195TH ST APT 216
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City | MIAMI
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State | FL
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Zip | 33179-3317
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Country | US
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Telephone | 954-268-0492
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Fax |
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Provider Business Mailing Address
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Address Line | 17141 NW MIAMI CT
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City | MIAMI
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State | FL
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Zip | 33169-5545
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Country | US
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Telephone | 954-268-0492
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | FL
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