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General NPI Number Information
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NPI Number | 1285020255
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Entity Type | Individual
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Provider Name | GABRIELA GONZALEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 8638 HUEBNER RD APT 3330
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2492
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Country | US
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Telephone | 210-294-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 316 JACKSON PL
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1620
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Country | US
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Telephone | 210-294-0933
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | S1601
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License Number State | TX
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