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General NPI Number Information
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NPI Number | 1407205214
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Entity Type | Individual
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Provider Name | NINA THAKKAR RIVERA D.O. PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 1801 NW 9TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1101
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Country | US
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Telephone | 305-355-5000
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Fax | 305-355-5202
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Provider Business Mailing Address
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Address Line | 1346 SW 3RD CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-7591
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS13408
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | OS13408
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS13408
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License Number State | FL
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