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General NPI Number Information
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NPI Number | 1578436523
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Entity Type | Individual
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Provider Name | JESSICA YESENIA GONZALEZ RN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 71777 SAN JACINTO DR STE 202
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4457
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Country | US
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Telephone | 760-396-7394
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Fax |
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Provider Business Mailing Address
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Address Line | 43465 TENNESSEE AVE
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City | PALM DESERT
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State | CA
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Zip | 92211-7767
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Country | US
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Telephone |
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 95227500
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License Number State | CA
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