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General NPI Number Information
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NPI Number | 1376188672
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Entity Type | Individual
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Provider Name | BRYAN NEGRON QUINONES
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Gender | Male
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Dates
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Enumeration Date | 11/10/2019
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | CALLE MONSENOR TORRES PISO 7 SUITE 703
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 939-237-4617
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION SANTA JUANITA DC15 CALLE ATENA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 939-237-4617
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6846
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License Number State | PR
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