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General NPI Number Information
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NPI Number | 1649507203
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Entity Type | Organization
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Legal Business Name | JAIME NAVARRO D.M.D., P.A.
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 14750 NW 77TH CT 301
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1507
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Country | US
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Telephone | 305-823-9463
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Fax | 305-823-9485
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Provider Business Mailing Address
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Address Line | 14750 NW 77TH CT 301
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1507
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Country | US
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Telephone | 305-823-9463
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Fax | 305-823-9485
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAIME NAVARRO
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Credential | D.M.D
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Telephone | 305-823-9463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | FL
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