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General NPI Number Information
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NPI Number | 1710085121
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Entity Type | Organization
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Legal Business Name | RAYMOND A RIVELL DPM PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7 GLENWOOD PLACE
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City | PENNSVILLE
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State | NJ
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Zip | 08070-0247
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Country | US
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Telephone | 856-678-4550
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Fax | 856-678-6272
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Provider Business Mailing Address
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Address Line | PO BOX 247 7 GLENWOOD PLACE
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City | PENNSVILLE
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State | NJ
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Zip | 08070-0247
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Country | US
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Telephone | 856-678-4550
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Fax | 856-678-6272
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAYMOND ARTHUR RIVELL
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Credential | DPM
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Telephone | 856-678-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00102000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 25MD00102000
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License Number State | NJ
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