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General NPI Number Information
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NPI Number | 1437839321
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Entity Type | Individual
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Provider Name | JOSE GONZALEZ-SOTO APRN, PMHNP-BC, LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 4350 W CYPRESS ST STE 625
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City | TAMPA
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State | FL
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Zip | 33607-4293
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Country | US
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Telephone | 855-817-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 7402 N 56TH ST STE 355 PMB 2090
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City | TAMPA
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State | FL
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Zip | 33617
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Country | US
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Telephone | 813-303-6871
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Fax | 385-473-8371
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23658
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407540-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11026930
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License Number State | FL
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