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General NPI Number Information
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NPI Number | 1376860429
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Entity Type | Individual
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Provider Name | CARMEN MARIA RIVERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1221 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1404
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Country | US
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Telephone | 630-264-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 404 N DELAPLAINE RD
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City | RIVERSIDE
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State | IL
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Zip | 60546-1810
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Country | US
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Telephone | 312-771-1746
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036131752
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License Number State | IL
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