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General NPI Number Information
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NPI Number | 1952213423
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Entity Type | Individual
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Provider Name | SHAIEN RIVERS
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Gender |
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 200 HOSPITAL CIR
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City | WESTMINSTER
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State | CA
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Zip | 92683-3910
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Country | US
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Telephone | 657-666-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 2158 BROOKWOOD AVE
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City | SANTA ROSA
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State | CA
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Zip | 95404-7018
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Country | US
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Telephone | 707-210-6250
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 90083
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License Number State | CA
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