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General NPI Number Information
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NPI Number | 1487271714
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Entity Type | Individual
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Provider Name | EMILY GONZALES
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 2416 CHARLESTON ST # D
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City | HOUSTON
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State | TX
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Zip | 77021-1012
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Country | US
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Telephone | 512-294-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 2416D CHARLESTON ST
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City | HOUSTON
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State | TX
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Zip | 77021-1012
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Country | US
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Telephone | 512-294-4046
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 122696
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License Number State | TX
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