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General NPI Number Information
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NPI Number | 1952228629
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Entity Type | Individual
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Provider Name | PATRICIA PAOLA RIVADENEIRA CPHT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 8415 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-3236
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Country | US
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Telephone | 718-971-9400
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Fax | 718-971-9399
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Provider Business Mailing Address
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Address Line | 1420 BATH AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11228-3805
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Country | US
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Telephone | 347-446-7772
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | 005356
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License Number State | NY
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