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General NPI Number Information
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NPI Number | 1275637969
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Entity Type | Individual
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Provider Name | RUTH CHRISTINE GONZALEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 4747 E BELL RD STE #15
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City | PHOENIX
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State | AZ
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Zip | 85032
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Country | US
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Telephone | 319-365-9105
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Fax | 319-866-9662
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Provider Business Mailing Address
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Address Line | 19601 N BLACK CANYON HWY #201
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City | PHOENIX
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State | AZ
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Zip | 85027-4107
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Country | US
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Telephone | 319-365-9105
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Fax | 319-866-9662
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 08433
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | PERMIT40085
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D008858
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License Number State | AZ
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