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General NPI Number Information
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NPI Number | 1699171165
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Entity Type | Individual
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Provider Name | ANA M RIVERA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 555 W CHERRY ST
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9797
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Country | US
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Telephone | 319-626-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 31 REDTAIL DR APT 19
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City | CORALVILLE
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State | IA
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Zip | 52241-4027
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Country | US
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Telephone | 939-247-8679
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22384
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License Number State | IA
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