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General NPI Number Information
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NPI Number | 1699549196
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Entity Type | Individual
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Provider Name | ORQUIDEA NAVARRO
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 5533 W CERMAK RD
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City | CICERO
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State | IL
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Zip | 60804-2236
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Country | US
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Telephone | 312-380-1733
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Fax | 833-605-4260
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Provider Business Mailing Address
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Address Line | 2419 WESTOVER AVE
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City | RIVERSIDE
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State | IL
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Zip | 60546-1538
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Country | US
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Telephone | 773-571-0315
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Fax | 833-605-4260
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023168360
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License Number State | IL
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