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General NPI Number Information
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NPI Number | 1356635882
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Entity Type | Individual
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Provider Name | FELICITAS S GONZALES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 16088 SAN PEDRO AVE STE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2251
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Country | US
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Telephone | 210-220-6744
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Fax | 210-200-6799
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Provider Business Mailing Address
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Address Line | 8711 VILLAGE DR STE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5419
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Country | US
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Telephone | 210-220-6744
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Fax | 210-200-6799
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q0446
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License Number State | TX
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