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General NPI Number Information
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NPI Number | 1174930804
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Entity Type | Individual
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Provider Name | CHRISTINE HOSANNA RIVAS MSW, LCSW 120766
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 9623 LITTLETON GRIST
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2382
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Country | US
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Telephone | 805-236-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 710 WAVERLY CT
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-388-4420
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120766
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License Number State | CA
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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 |
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License Number State |
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