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General NPI Number Information
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NPI Number | 1750264594
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Entity Type | Individual
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Provider Name | JOSHUA CALEB ROSARIO NEGRON
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 7950 CRAFT GOODMAN FRONTAGE RD
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City | OLIVE BRANCH
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State | MS
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Zip | 38654
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Country | US
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Telephone | 662-890-5868
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Fax |
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Provider Business Mailing Address
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Address Line | 2072 E ALMADALE CT APT 101
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City | COLLIERVILLE
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State | TN
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Zip | 38017
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Country | US
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Telephone | 901-721-7602
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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 | 102030
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License Number State | MS
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