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General NPI Number Information
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NPI Number | 1992803746
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Entity Type | Individual
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Provider Name | DANIEL RIVERA RRT
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 619 S MARION AVE
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City | LAKE CITY
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State | FL
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Zip | 32025-5808
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Country | US
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Telephone | 386-755-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 22536 NW 174TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-7375
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Country | US
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Telephone | 386-454-8495
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT7059
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License Number State | FL
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