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General NPI Number Information
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NPI Number | 1285897280
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Entity Type | Individual
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Provider Name | NELSON HIRAM RIVERO L.M.H.C.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 7409 37TH AVE SUITE 315
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6300
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Country | US
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Telephone | 718-672-1705
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Fax | 718-672-2027
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Provider Business Mailing Address
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Address Line | 7409 37TH AVE SUITE 315
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6300
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Country | US
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Telephone | 718-672-1705
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Fax | 718-672-2027
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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 | 003976-1
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License Number State | NY
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