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General NPI Number Information
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NPI Number | 1962899591
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Entity Type | Individual
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Provider Name | JAVERIA NAVEED MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 1400 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-673-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 5870 HIATUS RD REGIONAL ADMIN OFFICE-PE WEST
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City | TAMARAC
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State | FL
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Zip | 33321-6424
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Country | US
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Telephone | 888-447-2362
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Fax | 865-560-7110
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R5909
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License Number State | TX
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