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General NPI Number Information
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NPI Number | 1093005910
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Entity Type | Organization
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Legal Business Name | EMMA E. GONZALEZ OD PLLC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 2506 E. RICHARDSON RD
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-720-4000
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Fax | 956-720-4007
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Provider Business Mailing Address
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Address Line | 2506 E. RICHARDSON RD
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-720-4000
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Fax | 956-720-4007
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMMA E GONZALEZ
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Credential | OD
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Telephone | 956-720-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5907TG
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License Number State | TX
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