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General NPI Number Information
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NPI Number | 1154747202
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Entity Type | Individual
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Provider Name | DEBORAH RIVERA
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Gender | Female
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 5975 N FEDERAL HWY SUITE 106
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-2690
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Country | US
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Telephone | 954-771-6000
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Fax | 954-771-6536
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Provider Business Mailing Address
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Address Line | 5975 N FEDERAL HWY SUITE 106
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-2690
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Country | US
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Telephone | 954-771-6000
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Fax | 954-771-6536
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4956
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License Number State | FL
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