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General NPI Number Information
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NPI Number | 1003901539
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Entity Type | Individual
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Provider Name | JOSEPH A. GONZALES JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVENUE
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City | NEW ORLEANS
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State | LA
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Zip | 70118
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Country | US
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Telephone | 504-896-9569
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HENRY CLAY AVENUE
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City | NEW ORLEANS
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State | LA
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Zip | 70118
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Country | US
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Telephone | 504-896-9569
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 201019
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 201019
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License Number State | LA
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