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General NPI Number Information
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NPI Number | 1487651014
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Entity Type | Individual
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Provider Name | ITZIA GONZALEZ MURIEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | MO1 CALLE 413 SUITE 201
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City | CAROLINA
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State | PR
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Zip | 00982-1853
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Country | US
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Telephone | 787-765-6670
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Fax | 787-765-7601
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Provider Business Mailing Address
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Address Line | CALLE 402 MD2 COUNTRY CLUB
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-765-6670
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Fax | 787-765-7601
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11545
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License Number State | PR
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