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General NPI Number Information
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NPI Number | 1255904116
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Entity Type | Organization
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Legal Business Name | LAUREN GONZALEZ, PLLC
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 8020 S RAINBOW BLVD STE 100-717
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City | LAS VEGAS
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State | NV
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Zip | 89139-6483
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Country | US
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Telephone | 725-910-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 S RAINBOW BLVD STE 100-717
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City | LAS VEGAS
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State | NV
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Zip | 89139-6483
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Country | US
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Telephone | 725-910-1404
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | LAUREN GONZALEZ
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Credential | PT, DPT
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Telephone | 304-690-5546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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