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General NPI Number Information
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NPI Number | 1396650586
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Entity Type | Organization
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Legal Business Name | GONZALES HEALTHCARE SYSTEMS
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1110 N SARAH DEWITT DR
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City | GONZALES
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State | TX
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Zip | 78629-3311
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Country | US
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Telephone | 830-672-8502
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Fax | 830-541-5557
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Provider Business Mailing Address
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Address Line | 1110 N SARAH DEWITT DR
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City | GONZALES
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State | TX
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Zip | 78629-3311
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Country | US
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Telephone | 830-672-8502
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Fax | 830-541-5557
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JULI CLAY
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Credential |
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Telephone | 830-672-7581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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