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General NPI Number Information
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NPI Number | 1821211335
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Entity Type | Organization
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Legal Business Name | RIVERS FAMILY MEDICINE PA
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 1503 BUENOS AIRES BLVD BLDG 110
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City | THE VILLAGES
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State | FL
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Zip | 32159-6821
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Country | US
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Telephone | 352-205-4302
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Fax | 352-430-0468
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Provider Business Mailing Address
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Address Line | 1503 BUENOS AIRES BLVD BLDG 110
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City | THE VILLAGES
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State | FL
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Zip | 32159-6821
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Country | US
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Telephone | 352-205-4302
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Fax | 352-430-0468
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN J RIVERS
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Credential | MD
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Telephone | 352-205-4302
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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 | ME88231
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License Number State | FL
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