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General NPI Number Information
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NPI Number | 1194268797
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Entity Type | Individual
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Provider Name | KATRINA MARIE GONZALEZ ARNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 5000 UNIVERSITY DR
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City | CORAL GABLES
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State | FL
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Zip | 33146-2008
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Country | US
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Telephone | 305-510-3028
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Fax |
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Provider Business Mailing Address
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Address Line | 1044 CASTILE AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4740
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Country | US
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Telephone | 786-375-0683
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9346728
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License Number State | FL
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