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General NPI Number Information
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NPI Number | 1144382227
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Entity Type | Individual
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Provider Name | ALDO GOMEZ P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE BLD 80
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 400 LIVE OAK WAY 402
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City | BELMONT
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State | CA
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Zip | 94002-7249
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Country | US
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Telephone | 650-468-7516
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17411
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | CA17411
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License Number State | CA
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