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General NPI Number Information
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NPI Number | 1427048578
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Entity Type | Individual
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Provider Name | ANDREA GONZALEZ DUENAS MD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | A10 CALLE TREVISO TOWN PARK
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City | SAN JUAN
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State | PR
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Zip | 00924-5023
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Country | US
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Telephone | 787-761-1728
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Fax | 787-761-1724
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Provider Business Mailing Address
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Address Line | DEL PARQUE 218 APTO. 4-A
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City | SANTURCE
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State | PR
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Zip | 00911
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Country | US
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Telephone | 787-722-5355
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Fax | 787-761-1724
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 8940
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License Number State | PR
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