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General NPI Number Information
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NPI Number | 1285884841
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Entity Type | Individual
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Provider Name | JAIME IGNACIO NAVARRETE FAUBLA MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 600 ROE AVE
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City | ELMIRA
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State | NY
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Zip | 14905-1629
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Country | US
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Telephone | 607-737-8165
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Fax | 607-737-8175
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Provider Business Mailing Address
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Address Line | 600 IVY ST STE 206
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City | ELMIRA
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State | NY
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Zip | 14905-1627
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Country | US
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Telephone | 607-271-2050
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Fax | 607-271-2071
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036.144721
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 258375
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 258375
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 258375
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License Number State | NY
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