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General NPI Number Information
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NPI Number | 1902991987
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Entity Type | Individual
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Provider Name | HECTOR MANUEL NEGRON CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 6649 LAKE DR
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City | MORROW
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State | GA
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Zip | 30260-2354
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Country | US
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Telephone | 770-968-9978
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Fax | 770-968-9975
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | JONESBORO
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State | GA
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Zip | 30237-0278
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Country | US
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Telephone | 770-968-9978
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Fax | 770-968-9975
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11041723
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN138297
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License Number State | GA
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