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General NPI Number Information
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NPI Number | 1700829215
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Entity Type | Individual
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Provider Name | CYNTHIA D. RIVERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 613 VICTORIA LN
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City | HARLINGEN
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State | TX
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Zip | 78550-0235
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Country | US
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Telephone | 956-365-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 4202 HOOKHEATH DR
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City | EL PASO
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State | TX
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Zip | 79922-1221
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Country | US
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Telephone | 915-820-1479
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Fax | 915-581-6314
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H6548
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | H6548
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License Number State | TX
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