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NPI 1568101384

NPI 1568101384 : CHRISTINA GONZALEZ M.A., CF-SLP : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1568101384
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA GONZALEZ M.A., CF-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/31/2022
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    Last Update Date     |    05/31/2022
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Provider Practice Location Address
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    Address Line         |    1 OAKWOOD BLVD STE 130 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33020-1937
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    Country              |    US
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    Telephone            |    954-925-3844
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8951 NW 5TH ST 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33024-6405
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    Country              |    US
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    Telephone            |    954-670-6101
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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