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General NPI Number Information
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NPI Number | 1295877819
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Entity Type | Individual
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Provider Name | ERICKA RIVERA LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 800 S SANTA ANITA AVE
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City | ARCADIA
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State | CA
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Zip | 91006-3536
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Country | US
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Telephone | 626-254-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 11738 MOUNT GUNNISON CT
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City | ALTA LOMA
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State | CA
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Zip | 91737-7918
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Country | US
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Telephone | 818-291-3329
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 80366
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License Number State | CA
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