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General NPI Number Information
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NPI Number | 1710207345
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Entity Type | Individual
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Provider Name | PAULINE ANN NAVARRO PT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2010
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Last Update Date | 06/05/2010
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Provider Practice Location Address
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Address Line | 373 PINE LN
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City | LOS ALTOS
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State | CA
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Zip | 94022-1687
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Country | US
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Telephone | 650-575-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 12374 MELODY LN
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-3237
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Country | US
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Telephone | 650-575-9603
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Fax | 650-948-7106
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 9312
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License Number State | CA
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