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General NPI Number Information
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NPI Number | 1245627827
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Entity Type | Individual
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Provider Name | DONNA R RIVERA PHARMD, MSC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 200 SPRINGS RD
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City | BEDFORD
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State | MA
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Zip | 01730-1114
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Country | US
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Telephone | 240-276-6809
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Fax |
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Provider Business Mailing Address
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Address Line | 9609 MEDICAL CENTER DR DCCPS
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City | ROCKVILLE
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State | MD
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Zip | 20850-3330
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Country | US
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Telephone | 240-276-6809
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS50314
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License Number State | FL
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