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General NPI Number Information
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NPI Number | 1730747452
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Entity Type | Individual
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Provider Name | VALERIA RIVERA-SMITH PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 216 W MILLBROOK RD
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City | RALEIGH
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State | NC
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Zip | 27609-4304
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Country | US
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Telephone | 919-864-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 MARTRY RD
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City | DURHAM
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State | NC
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Zip | 27713-7415
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Country | US
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Telephone | 787-671-7993
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5581
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License Number State | NC
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