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General NPI Number Information
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NPI Number | 1639091747
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Entity Type | Individual
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Provider Name | AURA MELISSA RIVERA DMD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 5111 EHRLICH RD STE 150
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City | TAMPA
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State | FL
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Zip | 33624-2074
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Country | US
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Telephone | 813-264-1258
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Fax | 813-264-1258
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Provider Business Mailing Address
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Address Line | 936 S HOWARD AVE UNIT 315
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City | TAMPA
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State | FL
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Zip | 33606-2492
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Country | US
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Telephone | 813-264-1258
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Fax | 816-265-2083
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 28599
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License Number State | FL
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