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General NPI Number Information
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NPI Number | 1619329620
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Entity Type | Individual
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Provider Name | LINDSY RIVERA
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Gender | Female
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 7650 CHIPPEWA RD STE 205
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City | BRECKSVILLE
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State | OH
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Zip | 44141-2300
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Country | US
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Telephone | 440-589-7855
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Fax | 440-643-2180
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Provider Business Mailing Address
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Address Line | 4806 STOCKBRIDGE DR
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City | MEDINA
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State | OH
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Zip | 44256-6347
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Country | US
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Telephone | 440-465-1524
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Fax | 440-643-2180
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E.1901279
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S1200837
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License Number State | OH
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