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General NPI Number Information
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NPI Number | 1710328976
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Entity Type | Individual
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Provider Name | GIEZEL RIVERA OD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 101 AUPUNI ST SUITE 305
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City | HILO
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State | HI
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Zip | 96720-4246
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Country | US
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Telephone | 808-935-6319
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Fax | 808-961-0198
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Provider Business Mailing Address
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Address Line | 101 AUPUNI ST SUITE 305
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City | HILO
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State | HI
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Zip | 96720-4246
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Country | US
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Telephone | 808-935-6319
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Fax | 808-961-0198
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG002834
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD795
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License Number State | HI
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