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General NPI Number Information
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NPI Number | 1871325894
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Entity Type | Individual
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Provider Name | CESAR JAVIER RIVERA COLLET APRN
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Gender | Male
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 715 E VINE ST STE 1&2
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City | KISSIMMEE
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State | FL
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Zip | 34744-4232
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Country | US
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Telephone | 407-930-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 DADE AVE APT 1125
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City | ORLANDO
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State | FL
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Zip | 32804-4607
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Country | US
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Telephone | 787-453-9685
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11033278
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License Number State | FL
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