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General NPI Number Information
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NPI Number | 1841870391
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Entity Type | Organization
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Legal Business Name | NETWORK NAVEGANTES LLC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 95 GRAY ST
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City | PROVIDENCE
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State | RI
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Zip | 02909-4013
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Country | US
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Telephone | 401-286-7912
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Fax |
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Provider Business Mailing Address
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Address Line | 95 GRAY ST
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City | PROVIDENCE
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State | RI
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Zip | 02909-4013
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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 | ADMINISTRATOR
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Name | CARLOS JUAREZ
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Credential |
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Telephone | 401-649-9683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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