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General NPI Number Information
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NPI Number | 1174315659
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Entity Type | Individual
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Provider Name | LIVIA J. RIVERA
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 316 AVE. FERNANDO L. GARCIA
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City | UTUADO
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State | PR
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Zip | 00641
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Country | US
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Telephone | 787-391-2772
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 522
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City | UTUADO
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State | PR
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Zip | 00641-0522
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Country | US
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Telephone | 787-391-2772
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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 | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number | 249
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License Number State | PR
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