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General NPI Number Information
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NPI Number | 1528307824
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Entity Type | Individual
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Provider Name | ANTHONY GERALD NEGRI JR. R.N.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 3312 NORTHSIDE DR BLDG D, SUITE 204
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City | MACON
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State | GA
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Zip | 31210-2500
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Country | US
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Telephone | 478-238-4522
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Fax | 478-238-4524
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Provider Business Mailing Address
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Address Line | 3312 NORTHSIDE DR BLDG D, SUITE 204
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City | MACON
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State | GA
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Zip | 31210-2500
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Country | US
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Telephone | 478-238-4522
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Fax | 478-238-4524
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN154467
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | RN154467
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN154467
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN154467
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License Number State | GA
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