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General NPI Number Information
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NPI Number | 1588670020
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Entity Type | Individual
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Provider Name | AGNES L. NAVARRO PA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2499
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Country | US
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Telephone | 206-744-3000
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Fax |
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Provider Business Mailing Address
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Address Line | BOX 359868 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2499
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Country | US
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Telephone | 206-744-3205
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Fax | 206-744-5194
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10001525
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10001525
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA10001525
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License Number State | WA
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