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General NPI Number Information
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NPI Number | 1790712610
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Entity Type | Individual
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Provider Name | LIOVA E RIVERA-GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 1999 HIGHWAY 51 S
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City | COVINGTON
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State | TN
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Zip | 38019-3630
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Country | US
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Telephone | 901-476-4457
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Fax | 901-475-4389
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Provider Business Mailing Address
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Address Line | 1446 N RANDALL AVE
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City | JANESVILLE
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State | WI
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Zip | 53545-1122
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Country | US
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Telephone | 608-758-7215
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Fax | 608-758-3216
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40650
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License Number State | TN
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