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General NPI Number Information
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NPI Number | 1295263861
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Entity Type | Individual
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Provider Name | RENEE NICOLE RIVAS MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 16415 ADDISON RD STE 900
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City | ADDISON
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State | TX
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Zip | 75001-3268
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Country | US
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Telephone | 214-319-8066
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Fax | 214-414-0376
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Provider Business Mailing Address
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Address Line | PO BOX 4346, DEPT 5041
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City | HOUSTON
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State | TX
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Zip | 77210
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | V3421
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License Number State | TX
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