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General NPI Number Information
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NPI Number | 1053019406
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Entity Type | Individual
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Provider Name | NATHALIE GONZALEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 2 LONGVIEW AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10601-5000
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Country | US
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Telephone | 914-849-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NOSBAND AVE APT 2E
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2052
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Country | US
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Telephone | 914-874-3797
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F350862-01
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License Number State | NY
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