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General NPI Number Information
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NPI Number | 1992624589
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Entity Type | Individual
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Provider Name | CRYSTAL NEGRON RN
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 3677 CENTRAL AVE STE B
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City | FORT MYERS
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State | FL
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Zip | 33901-8226
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Country | US
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Telephone | 239-573-6164
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 SW 4TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33991-8016
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Country | US
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Telephone | 239-573-6164
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN9385213
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License Number State | FL
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