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General NPI Number Information
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NPI Number | 1114468402
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Entity Type | Organization
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Legal Business Name | NAVARRO MOBILE IMAGING CORP.
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 100 BAYVIEW DRIVE APARTMENT :211
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4781
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Country | US
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Telephone | 305-600-6815
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAYVIEW DR APARTMENT :211
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4781
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Country | US
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Telephone | 305-600-6815
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | ALEJANDRA BEATRIZ RAFTACCO
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Credential |
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Telephone | 305-600-6815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | CRT 33351
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License Number State | FL
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