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General NPI Number Information
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NPI Number | 1619371051
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Entity Type | Individual
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Provider Name | MELINDA RIVERA APRN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 13067 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-779-6303
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Fax | 888-977-1998
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Provider Business Mailing Address
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Address Line | 13067 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-779-6303
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Fax | 888-977-1998
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11102
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9200548
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9200548
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License Number State | FL
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