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General NPI Number Information
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NPI Number | 1073291233
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Entity Type | Individual
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Provider Name | CLAUDIA LUCIA GOMEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 540 NEW WAVERLY PL STE 200
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City | CARY
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State | NC
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Zip | 27518-7422
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Country | US
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Telephone | 919-954-4159
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Fax | 919-954-4445
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Provider Business Mailing Address
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Address Line | 109 MCINTOSH CT
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City | CARY
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State | NC
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Zip | 27511-5164
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Country | US
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Telephone | 984-222-4749
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5018410
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License Number State | NC
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