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General NPI Number Information
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NPI Number | 1972508679
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Entity Type | Individual
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Provider Name | RICHARD M NAVARRO PHD/CCC/A
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 444 HANA HWY STE K
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City | KAHULUI
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State | HI
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Zip | 96732
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Country | US
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Telephone | 808-871-9020
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Fax | 808-871-9024
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Provider Business Mailing Address
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Address Line | 444 HANA HWY STE K
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City | KAHULUI
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State | HI
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Zip | 96732-2315
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Country | US
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Telephone | 808-871-9020
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Fax | 808-871-9024
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 51191
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 51191
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License Number State | TX
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