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General NPI Number Information
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NPI Number | 1013744820
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Entity Type | Individual
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Provider Name | JOSE D GIRON NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 18 CALLE TAGORE APT 1712
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City | SAN JUAN
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State | PR
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Zip | 00926-4765
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Country | US
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Telephone | 470-529-7862
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Fax | 470-529-7862
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Provider Business Mailing Address
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Address Line | 18 CALLE TAGORE APT 1712
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City | SAN JUAN
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State | PR
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Zip | 00926-4765
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Country | US
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Telephone | 470-529-7862
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11042165
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 2757
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 85590
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License Number State | PR
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