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General NPI Number Information
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NPI Number | 1477495869
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Entity Type | Organization
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Legal Business Name | HEIDI GONZALES-NEGRON, LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 5051 207TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1114
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Country | US
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Telephone | 917-582-5527
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Fax | 347-966-1640
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Provider Business Mailing Address
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Address Line | 5051 207TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1114
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Country | US
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Telephone | 917-582-5527
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Fax | 347-966-1640
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEIDI MORALES GONZALES-NEGRON
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Credential |
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Telephone | 917-582-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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