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General NPI Number Information
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NPI Number | 1417525908
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Entity Type | Individual
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Provider Name | LAUREN NICOLE RIVERO
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Gender | Female
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 9951 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-2397
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Country | US
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Telephone | 954-437-6124
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Fax |
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Provider Business Mailing Address
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Address Line | 6828 NW 166TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6063
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Country | US
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Telephone | 305-613-6634
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS62394
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License Number State | FL
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