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General NPI Number Information
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NPI Number | 1326532763
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Entity Type | Individual
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Provider Name | FRANCISCO RIVERA JR. LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 8956 162ND ST
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City | JAMAICA
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State | NY
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Zip | 11432-5072
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Country | US
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Telephone | 347-505-7000
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Fax | 347-505-2500
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Provider Business Mailing Address
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Address Line | 8956 162ND ST
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City | JAMAICA
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State | NY
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Zip | 11432-5072
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Country | US
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Telephone | 347-505-7000
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Fax | 347-505-2500
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 097253-1
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License Number State | NY
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