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General NPI Number Information
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NPI Number | 1124897764
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Entity Type | Individual
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Provider Name | LEONARDO GABRIEL NEGRON ROCHE BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 232 CALLE COQUI
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City | ISABELA
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State | PR
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Zip | 00662-2138
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Country | US
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Telephone | 939-339-0016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941
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City | ISABELA
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State | PR
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Zip | 00662-0941
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Country | US
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Telephone | 939-339-0016
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 84366
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9695878
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License Number State | FL
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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 | 867588
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 84366
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License Number State | PR
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