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General NPI Number Information
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NPI Number | 1053411314
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Entity Type | Individual
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Provider Name | YASMIN GONZALEZ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13000 BRUCE B DOWNS BLVD PM&RS (117) VA HOSPITAL
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City | TAMPA
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State | FL
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Zip | 33612-4745
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Country | US
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Telephone | 813-972-2000
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Fax | 813-978-5852
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Provider Business Mailing Address
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Address Line | 13000 BRUCE B DOWNS BLVD PM&RS (117) VA HOSPITAL
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City | TAMPA
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State | FL
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Zip | 33612-4745
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Country | US
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Telephone | 813-972-2000
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Fax | 813-978-5852
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 2089
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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License Number | OT 2089
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT 2089
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License Number State | FL
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