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General NPI Number Information
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NPI Number | 1336227479
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Entity Type | Individual
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Provider Name | DANIEL A NAVARRO PT, MPT, OCS, MTC
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 857 COLLIER RD NW SUITE 1
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City | ATLANTA
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State | GA
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Zip | 30318-2532
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Country | US
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Telephone | 404-419-7760
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Fax | 404-351-3977
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Provider Business Mailing Address
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Address Line | 2076 OLD GEORGIAN TER NW
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City | ATLANTA
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State | GA
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Zip | 30318-1075
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Country | US
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Telephone | 404-992-5174
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Fax | 404-351-3977
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | GA006985
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License Number State | GA
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