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General NPI Number Information
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NPI Number | 1124075825
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Entity Type | Organization
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Legal Business Name | JUAN J GONZALEZ-DICKSON, M.D., P.A.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 909 JAMES ST SUITE A
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City | WESLACO
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State | TX
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Zip | 78596-4209
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Country | US
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Telephone | 956-968-0802
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Fax | 956-969-3242
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Provider Business Mailing Address
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Address Line | 909 JAMES ST SUITE A
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City | WESLACO
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State | TX
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Zip | 78596-4209
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Country | US
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Telephone | 956-968-0802
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Fax | 956-969-3242
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN J GONZALEZ-DICKSON
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Credential | MD
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Telephone | 956-968-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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