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General NPI Number Information
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NPI Number | 1386803021
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Entity Type | Organization
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Legal Business Name | JUAN PABLO GOMEZ, M.D., P.A.
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Dates
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Enumeration Date | 06/07/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 113 CANARY AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2216
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Country | US
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Telephone | 956-682-7432
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Fax | 956-682-7432
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Provider Business Mailing Address
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Address Line | 113 CANARY AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2216
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Country | US
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Telephone | 956-682-7432
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Fax | 956-682-7432
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN P GOMEZ
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Credential | M.D.
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Telephone | 956-802-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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