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General NPI Number Information
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NPI Number | 1770555435
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Entity Type | Organization
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Legal Business Name | MARITZA NAVARRO MD PA
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 12414 ALDERBROOK DR #201
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City | AUSTIN
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State | TX
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Zip | 78758-2480
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Country | US
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Telephone | 512-892-3336
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Fax | 512-892-3338
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Provider Business Mailing Address
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Address Line | 1900 SCOFIELD RIDGE PKWY #6203
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City | AUSTIN
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State | TX
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Zip | 78727-1600
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Country | US
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Telephone | 512-892-3336
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Fax | 512-892-3338
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. MARITZA NAVARRO
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Credential | MD
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Telephone | 512-892-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | K0953
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License Number State | TX
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