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General NPI Number Information
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NPI Number | 1558256933
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Entity Type | Individual
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Provider Name | DANIEL GONZALEZ RANGEL
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 10501 FGCU BLVD S
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City | FORT MYERS
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State | FL
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Zip | 33965-6502
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Country | US
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Telephone | 239-590-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 20886 NW 1ST ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2170
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Country | US
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Telephone | 954-805-1715
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9576586
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License Number State | FL
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