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General NPI Number Information
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NPI Number | 1528302130
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Entity Type | Individual
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Provider Name | JEFFRY THOMAS NEGARD R.N., DNP-FNP
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Gender | Male
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR
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City | JBSA FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-539-9582
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Fax |
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Provider Business Mailing Address
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Address Line | BROOKER ARMY MEDICAL CTR 3551 ROGER BROOKE DRIVE,
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-539-9582
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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 | AP141700
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License Number State | TX
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