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General NPI Number Information
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NPI Number | 1992838031
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Entity Type | Individual
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Provider Name | GISELA RIVERA-RIVERA M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1300 DACY LN STE 120-130
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City | KYLE
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State | TX
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Zip | 78640-4192
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Country | US
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Telephone | 844-327-1274
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Fax |
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Provider Business Mailing Address
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Address Line | 31 CALLE MIGUEL PLANELLAS
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City | CIDRA
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State | PR
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Zip | 00739-3341
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Country | US
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Telephone | 787-249-2881
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6120
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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