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General NPI Number Information
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NPI Number | 1366940512
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Entity Type | Individual
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Provider Name | MARY GONZALEZ LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 2265 COMO AVE
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City | SAINT PAUL
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State | MN
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Zip | 55108-1737
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Country | US
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Telephone | 651-645-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 3617 10TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-3972
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Country | US
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Telephone | 651-353-3921
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 23259
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License Number State | MN
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