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General NPI Number Information
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NPI Number | 1932332665
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Entity Type | Organization
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Legal Business Name | JORGE A. NARANJO, M.D., P.C.
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 18141 WOODLAND PARK DR
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City | BOYKINS
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State | VA
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Zip | 23827-0365
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Country | US
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Telephone | 757-654-6545
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Fax | 757-654-6176
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | BOYKINS
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State | VA
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Zip | 23827-0365
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Country | US
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Telephone | 757-654-6545
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Fax | 757-654-6176
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE A. NARANJO
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Credential | M.D.
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Telephone | 757-654-6545
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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 | 0101016682
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License Number State | VA
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