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General NPI Number Information
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NPI Number | 1093520678
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Entity Type | Individual
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Provider Name | MARCELA GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 7025 N SCOTTSDALE RD STE 302
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3694
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Country | US
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Telephone | 480-657-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 876 S LAWTHER DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-6109
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Country | US
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Telephone | 480-745-9980
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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