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General NPI Number Information
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NPI Number | 1588697338
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Entity Type | Individual
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Provider Name | ALEJANDRO R. GONZALEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 1 PEARTREE WAY
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City | BEAVER
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State | PA
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Zip | 15009-1954
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Country | US
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Telephone | 724-728-9404
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Fax | 724-773-4693
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Provider Business Mailing Address
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Address Line | 1 PEARTREE WAY
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City | BEAVER
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State | PA
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Zip | 15009-1954
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Country | US
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Telephone | 724-728-9404
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Fax | 724-773-4693
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD-032117-L
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License Number State | PA
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