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General NPI Number Information
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NPI Number | 1053136465
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Entity Type | Individual
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Provider Name | YESENIA ALTAGRACIA NEGRON
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1241 ZEREGA AVE
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City | BRONX
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State | NY
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Zip | 10462-5421
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Country | US
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Telephone | 347-547-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 140 BENCHLEY PL APT 19J
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City | BRONX
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State | NY
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Zip | 10475-3551
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Country | US
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Telephone |
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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