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General NPI Number Information
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NPI Number | 1407584527
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Entity Type | Individual
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Provider Name | PAULA GONZALEZ NP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 05/11/2024
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Provider Practice Location Address
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Address Line | 3426 CENTRAL AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6277
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Country | US
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Telephone | 501-431-0175
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Fax | 501-431-0176
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Provider Business Mailing Address
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Address Line | 131 PEBBLE BEACH DR
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City | HOT SPRINGS
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State | AR
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Zip | 71913-2233
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Country | US
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Telephone | 501-282-8380
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221316
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License Number State | AR
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