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General NPI Number Information
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NPI Number | 1144430927
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Entity Type | Individual
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Provider Name | HUGO A RIVERA DDS
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 315 N SAN SABA STE 202
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3193
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Country | US
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Telephone | 210-223-3383
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Fax | 210-223-1055
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Provider Business Mailing Address
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Address Line | 8606 VILLAGE DR STE B
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5506
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Country | US
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Telephone | 210-654-6882
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Fax | 210-654-0036
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22859
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License Number State | TX
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