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General NPI Number Information
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NPI Number | 1831856632
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Entity Type | Individual
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Provider Name | HECTOR JOEL NAVEDO ALDANONDO PA
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Gender | Male
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 295 PALMAS INN WAY STE 133
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City | HUMACAO
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State | PR
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Zip | 00791-6144
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Country | US
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Telephone | 787-988-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 295 PALMAS INN WAY STE 133
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City | HUMACAO
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State | PR
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Zip | 00791-6144
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Country | US
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Telephone |
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002028-P.A.
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License Number State | PR
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