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General NPI Number Information
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NPI Number | 1225621030
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Entity Type | Individual
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Provider Name | GABRIELA EDITH RIVERA APRN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 6700 LAKE NONA BLVD
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City | ORLANDO
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State | FL
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Zip | 32827-7729
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 DORAL PARK AVE
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City | KISSIMMEE
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State | FL
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Zip | 34758-2868
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Country | US
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Telephone | 407-989-4666
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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 | APRN11010435
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License Number State | FL
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