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General NPI Number Information
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NPI Number | 1770089328
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Entity Type | Organization
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Legal Business Name | NAVA FIELDS PA
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 3720 COCONUT CREEK PKWY STE B
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City | COCONUT CREEK
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State | FL
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Zip | 33066-1634
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Country | US
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Telephone | 954-978-0209
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Fax | 954-978-1619
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Provider Business Mailing Address
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Address Line | 1440 CORAL RIDGE DR # 361
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5433
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Country | US
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Telephone | 954-818-8223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAVA FIELDS
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Credential | OTR
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Telephone | 954-818-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | FL
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