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General NPI Number Information
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NPI Number | 1942448055
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Entity Type | Individual
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Provider Name | ROSA I RIVERA TS
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Gender | Female
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | AVE. LUIS MUNOZ RIVERA 91
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-1188
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Fax | 787-845-1188
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Provider Business Mailing Address
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Address Line | EXT. ALTURAS DE SANTA ISABEL CALLE 5 E-1
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-298-3209
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Fax | 787-845-1188
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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 | 2527951
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License Number State | PR
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