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General NPI Number Information
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NPI Number | 1598017378
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Entity Type | Individual
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Provider Name | JESSICA GONZALEZ MURO CSA
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Gender | Female
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 440 N STATE ROAD 7 STE B
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3504
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Country | US
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Telephone | 561-798-6600
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Fax | 561-615-1958
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Provider Business Mailing Address
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Address Line | 10131 FOREST HILL BLVD STE 230
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City | WELLINGTON
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State | FL
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Zip | 33414-6109
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Country | US
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Telephone | 561-798-6600
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Fax | 561-615-1958
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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