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General NPI Number Information
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NPI Number | 1588458129
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Entity Type | Individual
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Provider Name | NICOLE M RIVERO LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2555 NW 102ND AVE STE 217
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City | DORAL
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State | FL
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Zip | 33172-2131
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Country | US
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Telephone | 786-389-4614
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Fax |
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Provider Business Mailing Address
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Address Line | 4322 SW 159TH PATH
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City | MIAMI
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State | FL
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Zip | 33185-5311
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Country | US
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Telephone | 786-389-4614
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23741
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License Number State | FL
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