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General NPI Number Information
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NPI Number | 1245599471
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Entity Type | Individual
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Provider Name | JESSICA BETH RIVAS NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 6015 E BROWN RD
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City | MESA
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State | AZ
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Zip | 85205-4452
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 E ARIS DR
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City | GILBERT
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State | AZ
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Zip | 85298-4213
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Country | US
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Telephone | 480-628-5158
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10049376
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 267467
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 243760
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4279
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13335
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95036918
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | APRN-5427
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License Number State | HI
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