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General NPI Number Information
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NPI Number | 1154608834
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Entity Type | Individual
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Provider Name | JAMY GIZEL RIVERA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 32 W LOOCKERMAN ST SUITE 203
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City | DOVER
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State | DE
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Zip | 19904-7352
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Country | US
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Telephone | 302-730-0720
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Fax | 302-730-0725
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Provider Business Mailing Address
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Address Line | 32 W LOOCKERMAN ST APT 203
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City | DOVER
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State | DE
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Zip | 19904-7313
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Country | US
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Telephone | 302-730-0720
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Fax | 302-730-0725
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 084717
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001496
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License Number State | DE
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