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General NPI Number Information
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NPI Number | 1023982733
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Entity Type | Organization
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Legal Business Name | JOSE GONZALEZ-SOTO, PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 14021 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-2401
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Country | US
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Telephone | 813-303-6871
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Fax | 385-473-8371
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Provider Business Mailing Address
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Address Line | 7402 N 56TH ST STE 355
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City | TAMPA
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State | FL
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Zip | 33617-7700
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Country | US
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Telephone | 813-303-6871
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Fax | 385-473-8371
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Authorized Official
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Title or Position | ADDICTION & PSYCHIATRIC NP
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Name | DR. JOSE G GONZALEZ-SOTO
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Credential | DNP,PMHNP-BC,CARN-AP
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Telephone | 813-303-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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