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General NPI Number Information
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NPI Number | 1134956626
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Entity Type | Individual
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Provider Name | MISS LUZ JOHANNA RIVERA COLLAZO
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1125 TEXAS AVE
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City | EL PASO
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State | TX
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Zip | 79901-1753
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Country | US
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Telephone | 915-915-5030
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Fax |
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Provider Business Mailing Address
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Address Line | HC BOX 3 12008
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-206-9811
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1221814
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License Number State | TX
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