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General NPI Number Information
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NPI Number | 1932071057
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Entity Type | Individual
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Provider Name | JOSHUA ABRAHAM RIVERA-TORRES
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3240 JUAN TABO BLVD NE BLDG A
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-5187
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Country | US
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Telephone | 505-705-0571
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Fax | 505-503-1617
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Provider Business Mailing Address
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Address Line | 3240 JUAN TABO BLVD NE BLDG A
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-5187
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Country | US
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Telephone | 505-705-0571
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Fax | 505-503-1617
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 0098741
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License Number State | NM
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