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General NPI Number Information
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NPI Number | 1164792438
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Entity Type | Individual
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Provider Name | SANDRA RIVERA TORAL ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 9009 CORPORATE LAKE DR SUITE 200
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City | TAMPA
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State | FL
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Zip | 33634-2367
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Country | US
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Telephone | 786-452-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 10420 SW 67TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1326
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Country | US
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Telephone | 786-457-2784
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9194259
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License Number State | FL
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