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General NPI Number Information
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NPI Number | 1851415301
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Entity Type | Individual
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Provider Name | KRISTA MARIE RIVERA PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 24 SIX PINE RANCH RD
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City | BATESVILLE
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State | IN
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Zip | 47006-1399
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Country | US
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Telephone | 812-933-3728
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Fax | 812-933-3729
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | BATESVILLE
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State | IN
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Zip | 47006-0236
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Country | US
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Telephone | 812-933-3828
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Fax | 812-933-3729
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004432A
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License Number State | IN
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