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General NPI Number Information
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NPI Number | 1467376327
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Entity Type | Individual
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Provider Name | NADIEZHDA BONITA RIVAS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 5816 ALLEGHANY ST
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City | SAN DIEGO
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State | CA
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Zip | 92139-1712
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Country | US
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Telephone | 619-344-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 4881 ROLANDO CT APT 38
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City | SAN DIEGO
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State | CA
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Zip | 92115-2726
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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