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General NPI Number Information
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NPI Number | 1659601797
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Entity Type | Organization
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Legal Business Name | PAUL F NAVARRO D O P C
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 18815 E 10 MILE RD
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City | ROSEVILLE
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State | MI
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Zip | 48066-3931
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Country | US
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Telephone | 586-778-4640
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Fax | 586-775-2072
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Provider Business Mailing Address
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Address Line | 18815 E 10 MILE RD
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City | ROSEVILLE
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State | MI
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Zip | 48066-3931
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Country | US
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Telephone | 586-778-4640
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Fax | 586-775-2072
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL F NAVARRO
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Credential | D.O.
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Telephone | 586-778-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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