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General NPI Number Information
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NPI Number | 1548603681
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Entity Type | Organization
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Legal Business Name | GLADYS E NEGRON, MD PSC
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 1477 AVE ASHFORD APT 906
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City | SAN JUAN
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State | PR
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Zip | 00907-1543
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Country | US
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Telephone | 940-382-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 1477 AVE ASHFORD APT 906
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City | SAN JUAN
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State | PR
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Zip | 00907-1543
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JORGE ZAVALA
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Credential |
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Telephone | 940-382-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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