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General NPI Number Information
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NPI Number | 1134829807
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Entity Type | Individual
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Provider Name | DALILA GONZALES M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1382 BLUE OAKS BLVD STE 213
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City | ROSEVILLE
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State | CA
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Zip | 95678-7052
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Country | US
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Telephone | 877-412-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 12384 SNAPPING TURTLE RD
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City | APPLE VALLEY
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State | CA
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Zip | 92308-4203
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Country | US
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Telephone | 760-514-7576
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 155358
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License Number State | CA
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