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General NPI Number Information
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NPI Number | 1639316052
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Entity Type | Individual
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Provider Name | JOHANN NEGRON PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | CARR 14 KM 18.3 SECTOR TIJERAS
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-318-6966
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 CALLE CERRO SALIENTE QUINTAS DE ALTAMIRA
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City | JUANA DIAZ
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State | PR
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Zip | 00795-9107
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Country | US
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Telephone | 787-318-6966
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4685
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License Number State | PR
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