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General NPI Number Information
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NPI Number | 1902531718
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Entity Type | Individual
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Provider Name | TERESA RIVERA-COOPER
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 4 CORNERSTONE DR
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City | LANGHORNE
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State | PA
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Zip | 19047-1314
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Country | US
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Telephone | 215-757-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 JARRETTOWN RD
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City | DRESHER
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State | PA
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Zip | 19025-1301
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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