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General NPI Number Information
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NPI Number | 1922686674
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Entity Type | Individual
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Provider Name | JUSTIN BRIAN NAVARRO DO
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Gender | Male
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 1016 JUSTIS ST
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City | CHESAPEAKE
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State | VA
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Zip | 23325-2516
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Country | US
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Telephone | 757-420-8297
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Fax |
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Provider Business Mailing Address
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Address Line | 860 OMNI BLVD STE 128
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4483
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Country | US
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Telephone | 757-964-8739
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102207512
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License Number State | VA
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