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General NPI Number Information
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NPI Number | 1437841533
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Entity Type | Individual
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Provider Name | ALBERTO AGUSTIN RIVERON MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 8251 W ROWARD BLVD SUITE 200-208
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-334-3131
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Fax | 954-334-3132
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Provider Business Mailing Address
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Address Line | 10551 W BROWARD BLVD APT 111
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City | PLANTATION
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State | FL
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Zip | 33324-2129
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Country | US
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Telephone | 561-797-3154
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23924
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1640
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License Number State | FL
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