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General NPI Number Information
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NPI Number | 1609817303
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Entity Type | Individual
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Provider Name | NONATO A LARGOZA MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 BODIN CIRCLE
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City | TRAVIS AFB
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State | CA
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Zip | 94535
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Country | US
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Telephone | 707-423-3731
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Fax | 707-423-7419
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Provider Business Mailing Address
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Address Line | 5141 FALATI LN
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City | FAIRFIELD
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State | CA
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Zip | 94533-8977
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Country | US
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Telephone | 707-437-5141
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Fax | 707-437-5151
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A70945
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License Number State | CA
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