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General NPI Number Information
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NPI Number | 1053578690
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Entity Type | Individual
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Provider Name | MARIA ZITA NARVAEZ D.D.S
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 303A ANASTASIA BLVD
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-4506
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Country | US
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Telephone | 904-810-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 303A ANASTASIA BLVD
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-4506
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Country | US
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Telephone | 904-810-2320
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13476
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License Number State | FL
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