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General NPI Number Information
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NPI Number | 1225333982
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Entity Type | Individual
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Provider Name | GISELL LYNN GONZALVO ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 242 NW LE JEUNE RD
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City | MIAMI
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State | FL
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Zip | 33126-5488
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Country | US
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Telephone | 305-778-6263
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Fax |
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Provider Business Mailing Address
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Address Line | 13103 SW 195TH ST
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City | MIAMI
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State | FL
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Zip | 33177-4277
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Country | US
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Telephone | 305-282-9797
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP 9180373
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License Number State | FL
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