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General NPI Number Information
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NPI Number | 1437139292
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Entity Type | Individual
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Provider Name | ALFREDO F. GOMEZ CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1725 N UNIVERSITY DR 2ND FLOOR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6089
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Country | US
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Telephone | 954-227-7760
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Fax | 954-227-9975
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Provider Business Mailing Address
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Address Line | 1986 NE 35TH CT
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City | OAKLAND PARK
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State | FL
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Zip | 33308-6255
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Country | US
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Telephone | 954-253-0932
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Fax | 954-253-0932
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP 2515132
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License Number State | FL
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