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General NPI Number Information
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NPI Number | 1255145967
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Entity Type | Individual
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Provider Name | ANDREA SARAHI GONZALEZ DC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1323 W NORTHWEST HWY STE 300
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City | GRAPEVINE
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State | TX
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Zip | 76051-1500
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Country | US
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Telephone | 972-556-5667
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 HIDALGO ST
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City | IRVING
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State | TX
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Zip | 75062-6516
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Country | US
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Telephone | 972-322-8645
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16349
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License Number State | TX
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