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General NPI Number Information
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NPI Number | 1316993561
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Entity Type | Individual
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Provider Name | JOSELITO SAN ANTONIO NAVALEZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 8420 OCEAN GTWY
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City | EASTON
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State | MD
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Zip | 21601-7169
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Country | US
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Telephone | 410-822-0424
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Fax | 410-822-2283
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Provider Business Mailing Address
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Address Line | 8420 OCEAN GTWY
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City | EASTON
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State | MD
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Zip | 21601-7169
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Country | US
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Telephone | 410-822-0424
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Fax | 410-822-2283
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0064417
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License Number State | MD
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