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General NPI Number Information
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NPI Number | 1568841815
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Entity Type | Individual
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Provider Name | VERONICA GONZALEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 3505 BROADWAY FL 7
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City | OAKLAND
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State | CA
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Zip | 94611-5714
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Country | US
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Telephone | 510-304-2938
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Fax |
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Provider Business Mailing Address
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Address Line | 260 30TH ST UNIT 101
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City | OAKLAND
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State | CA
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Zip | 94611-5970
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Country | US
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Telephone | 510-304-2938
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | BP10053065
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License Number State | TX
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