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General NPI Number Information
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NPI Number | 1265823330
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Entity Type | Individual
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Provider Name | TONEY RUDOLFO GONZALES FNP
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Gender | Male
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1335 VALENTINE ST
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City | MELBOURNE
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State | FL
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Zip | 32901
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Country | US
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Telephone | 321-586-5444
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Fax | 321-319-9712
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Provider Business Mailing Address
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Address Line | 1335 VALENTINE ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3127
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Country | US
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Telephone | 321-586-5444
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Fax | 321-319-9712
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5008341
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9483373
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0000018806
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5008341
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9483373
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License Number State | FL
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