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General NPI Number Information
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NPI Number | 1518135573
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Entity Type | Organization
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Legal Business Name | NAVSTA PRIMARY CARE CLINIC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 3116 3RD FLOOR FESTIVAL SUPERMALL FILINVEST CORP. CITY
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City | ALABANG MUNTINLUPA
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State | MANILA
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Zip | 1740
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Country | PH
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Telephone | 632-809-2736
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Fax | 632-809-2736
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Provider Business Mailing Address
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Address Line | 3116 3RD FLOOR FESTIVAL SUPERMALL FILINVEST CORP.CITY
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City | ALABANG MUNTINLUPA
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State | MANILA
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Zip | 1740
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Country | PH
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Telephone | 632-809-2736
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Fax | 632-809-2736
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MRS. IRENE SIMON CORTEZ
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Credential |
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Telephone | 632-809-2736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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