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General NPI Number Information
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NPI Number | 1124403951
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Entity Type | Organization
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Legal Business Name | NAVARRO RESEARCH GROUP, LLC
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 2452 FENTON ST SUITE 101
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-450-2152
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Fax | 619-479-6726
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Provider Business Mailing Address
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Address Line | 2452 FENTON ST SUITE 101
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-450-1524
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Fax | 619-479-6726
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. HAKIM MOAHMED
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Credential |
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Telephone | 619-861-5314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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