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General NPI Number Information
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NPI Number | 1205588399
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Entity Type | Individual
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Provider Name | EVA ISABEL RIVERA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 999 SW 1ST AVE APT 1606
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City | MIAMI
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State | FL
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Zip | 33130-3441
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Country | US
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Telephone | 512-800-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 S MIAMI AVE APT 1211
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City | MIAMI
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State | FL
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Zip | 33130-4164
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Country | US
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Telephone | 512-800-3588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH26461
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License Number State | FL
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