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General NPI Number Information
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NPI Number | 1275898017
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Entity Type | Individual
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Provider Name | ANA RIVAS MEJIA MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 960 E. WALNUT LAWN STREET SUITE 201
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7865
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Country | US
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Telephone | 417-269-4450
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Fax | 417-269-8333
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Provider Business Mailing Address
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Address Line | 14502 W MEEKER BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-5282
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Country | US
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Telephone | 623-524-8814
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | R0648
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2020012850
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License Number State | MO
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