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General NPI Number Information
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NPI Number | 1003899311
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Entity Type | Individual
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Provider Name | MARBELIA C GONZALEZ MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 KEY HWY STE 400
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City | BALTIMORE
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State | MD
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Zip | 21230-5546
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Country | US
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Telephone | 703-639-7481
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25193
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 039962
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License Number State | CT
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