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General NPI Number Information
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NPI Number | 1093925794
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Entity Type | Individual
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Provider Name | TRAVIS ALEXANDER NAJERA MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 1620 N ROAD 44
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City | PASCO
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State | WA
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Zip | 99301-2667
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Country | US
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Telephone | 509-396-3001
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Fax | 509-544-2158
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Provider Business Mailing Address
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Address Line | 1620 N ROAD 44
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City | PASCO
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State | WA
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Zip | 99301-2667
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Country | US
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Telephone | 509-396-3001
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Fax | 509-544-2158
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57.011752
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60079458
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License Number State | WA
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