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General NPI Number Information
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NPI Number | 1215474101
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Entity Type | Organization
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Legal Business Name | GERHARD F GOMEZ MD LLC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2929 E CAMELBACK RD STE 119
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City | PHOENIX
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State | AZ
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Zip | 85016-4425
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Country | US
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Telephone | 602-824-8404
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Fax | 602-899-6550
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Provider Business Mailing Address
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Address Line | PO BOX 10261
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City | PHOENIX
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State | AZ
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Zip | 85064-0261
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Country | US
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Telephone | 602-824-8404
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Fax | 602-899-6550
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Authorized Official
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Title or Position | CEO
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Name | DR. GERHARD FRANCOIS GOMEZ
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Credential | MD
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Telephone | 602-824-8404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49791
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License Number State | AZ
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