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General NPI Number Information
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NPI Number | 1275031759
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Entity Type | Individual
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Provider Name | ELOI GONZALEZ
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Gender | Male
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR STE 102
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City | MIAMI
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State | FL
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Zip | 33176-2131
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Country | US
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Telephone | 305-273-8221
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Fax | 305-279-0421
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Provider Business Mailing Address
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Address Line | 9721 SW 131ST ST
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City | MIAMI
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State | FL
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Zip | 33176-5614
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Country | US
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Telephone | 786-301-2639
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS43344
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License Number State | FL
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