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General NPI Number Information
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NPI Number | 1629568910
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Entity Type | Individual
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Provider Name | MISS DAYRA VIVIANIS RIVERA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2018
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2109 VININGS CIR APT 906
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City | WELLINGTON
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State | FL
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Zip | 33414-2052
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Country | US
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Telephone | 561-292-0233
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Fax | 561-448-0097
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Provider Business Mailing Address
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Address Line | 3126 NORCOTT DR
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City | DAVENPORT
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State | FL
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Zip | 33837-7838
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Country | US
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Telephone | 787-372-4578
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI3363
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ10198
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License Number State | FL
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