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General NPI Number Information
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NPI Number | 1336662576
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Entity Type | Individual
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Provider Name | JAY RAYMOND NAVARRO ABAD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 116 JOHN ST APT 1506
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City | NEW YORK
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State | NY
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Zip | 10038-5617
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Country | US
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Telephone | 949-922-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 16573 MIDDLETON AVE
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City | WHITTIER
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State | CA
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Zip | 90603-3071
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Country | US
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Telephone |
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95010754
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 722345
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License Number State | NY
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