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General NPI Number Information
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NPI Number | 1417762873
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Entity Type | Individual
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Provider Name | NATALIE MENDEZ RIVERA DC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2291 BROWNS BRIDGE RD
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City | GAINESVILLE
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State | GA
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Zip | 30501-4733
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Country | US
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Telephone | 470-839-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 2732 SEDGEVIEW LN
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City | BUFORD
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State | GA
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Zip | 30519-7157
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Country | US
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Telephone | 787-367-9733
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR011271
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License Number State | GA
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