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General NPI Number Information
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NPI Number | 1265685549
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Entity Type | Organization
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Legal Business Name | DR.PEDRO J. GONZALEZ PC
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 8905 FAIRVIEW RD STE.500
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City | SILVER SPRING
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State | MD
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Zip | 20910-4150
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Country | US
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Telephone | 301-588-0440
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Fax | 301-588-0443
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Provider Business Mailing Address
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Address Line | 8905 FAIRVIEW RD STE.500
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City | SILVER SPRING
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State | MD
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Zip | 20910-4150
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Country | US
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Telephone | 301-588-0440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEDRO J. GONZALEZ
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Credential | DC
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Telephone | 301-588-0440
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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 | 1187PT
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License Number State | MD
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