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General NPI Number Information
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NPI Number | 1447728852
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Entity Type | Organization
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Legal Business Name | JORGE GONZALEZ-BARRERA, N.P., P.A.
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 3880 COCONUT CREEK PKWY STE 100
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City | COCONUT CREEK
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State | FL
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Zip | 33066-1643
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Country | US
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Telephone | 305-895-7519
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Fax | 305-895-7520
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Provider Business Mailing Address
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Address Line | 3880 COCONUT CREEK PKWY STE 100
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City | COCONUT CREEK
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State | FL
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Zip | 33066-1643
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Country | US
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Telephone | 305-895-7519
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Fax | 305-895-7520
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE GONZALEZ-BARRERA
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Credential | NP
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Telephone | 305-895-7519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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