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General NPI Number Information
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NPI Number | 1528031986
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Entity Type | Individual
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Provider Name | GUILLERMO ALBERTO NAVARRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | PSC 819 BOX 4488
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City | FPO
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State | AE
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Zip | 09645-0045
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Country | US
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Telephone | 94347273307
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Fax |
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Provider Business Mailing Address
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Address Line | 2004 CROWN POINTE BLVD
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City | PENSACOLA
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State | FL
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Zip | 32506-8398
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Country | US
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Telephone | 302-377-7772
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME135153
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License Number State | FL
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