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General NPI Number Information
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NPI Number | 1356510424
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Entity Type | Individual
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Provider Name | INES GONZALEZ-TORRES MD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 422 FLOYD CIR
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City | HINESVILLE
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State | GA
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Zip | 31313-5536
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Country | US
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Telephone | 912-617-0922
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Fax | 912-369-0022
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Provider Business Mailing Address
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Address Line | PO BOX 3129
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City | FORT STEWART
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State | GA
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Zip | 31315-3129
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Country | US
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Telephone | 912-617-0922
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Fax | 912-369-0022
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | H1281
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License Number State | TX
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