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General NPI Number Information
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NPI Number | 1043785249
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Entity Type | Organization
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Legal Business Name | NAVARRO DENTAL GROUP
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 7000 SW 97TH AVE STE 204
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City | MIAMI
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State | FL
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Zip | 33173-1492
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Country | US
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Telephone | 305-279-0717
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Fax | 305-279-0713
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Provider Business Mailing Address
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Address Line | 7000 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-1494
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Country | US
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Telephone | 305-279-0717
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Fax | 305-279-0713
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Authorized Official
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Title or Position | DR
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Name | MARIANELYS NAVARRO
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Credential |
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Telephone | 786-372-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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