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General NPI Number Information
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NPI Number | 1558620377
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Entity Type | Organization
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Legal Business Name | GLADYS E. NEGRON, M.D. INC.
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 1687 ERRINGER RD 102
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6508
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Country | US
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Telephone | 805-526-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 1687 ERRINGER RD 102
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6508
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Country | US
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Telephone | 805-526-9110
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A65789
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License Number State | CA
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