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General NPI Number Information
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NPI Number | 1669343760
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Entity Type | Individual
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Provider Name | YUREMA GONZALEZ RIVERO DMD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 746 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2385
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Country | US
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Telephone | 732-402-6209
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Fax |
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Provider Business Mailing Address
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Address Line | 117 HEATHER CT
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City | EDISON
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State | NJ
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Zip | 08820-1052
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Country | US
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Telephone | 305-987-6165
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI03120600
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License Number State | NJ
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