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General NPI Number Information
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NPI Number | 1629933247
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Entity Type | Individual
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Provider Name | JESSIKA NEGRIN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 7520 NW 5TH ST STE 200
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City | PLANTATION
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State | FL
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Zip | 33317-1613
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Country | US
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Telephone | 954-612-9175
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Fax |
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Provider Business Mailing Address
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Address Line | 733 LAKE BLVD
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City | WESTON
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State | FL
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Zip | 33326-3535
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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 |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4611
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License Number State | FL
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