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General NPI Number Information
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NPI Number | 1770700270
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Entity Type | Individual
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Provider Name | JORGE L NEGRON BAEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | JULIO PEREZ IRIZARRY 18
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-0230
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Fax |
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Provider Business Mailing Address
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Address Line | HC 8 BOX 3382
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City | SABANA GRANDE
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State | PR
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Zip | 00637-9277
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Country | US
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Telephone | 787-849-0230
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 12452
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License Number State | PR
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