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General NPI Number Information
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NPI Number | 1770178519
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Entity Type | Individual
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Provider Name | JENNIFER NEGRON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 407-920-3559
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 SHAW LN
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City | ORLANDO
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State | FL
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Zip | 32814-6539
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS30749
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License Number State | FL
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