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General NPI Number Information
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NPI Number | 1922241488
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Entity Type | Individual
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Provider Name | JAURES M NEGRE PT
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Gender | Female
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 954 NAVCO RD. CROWNE OF MOBILE
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City | MOBILE
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State | AL
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Zip | 36605
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Country | US
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Telephone | 251-473-8684
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Fax | 251-473-3793
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Provider Business Mailing Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 205-942-6820
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Fax | 205-942-5884
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH 1695
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License Number State | AL
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