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General NPI Number Information
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NPI Number | 1023267556
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Entity Type | Organization
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Legal Business Name | RUFINO H. GONZALEZ, M.D., P.A.
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 2601 HOSPITAL BLVD SUITE 205
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-1815
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Country | US
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Telephone | 361-993-1773
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Fax | 361-993-0375
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Provider Business Mailing Address
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Address Line | 225 CAPE ARON DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-2671
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Country | US
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Telephone | 361-993-1773
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Fax | 361-993-0375
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUFINO HUGO GONZALEZ
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Credential | M.D.
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Telephone | 361-993-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | D3240
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License Number State | TX
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