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General NPI Number Information
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NPI Number | 1609275312
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Entity Type | Individual
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Provider Name | OLGA GONZALEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 2058
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City | AMARILLO
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State | TX
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Zip | 79106-2109
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Country | US
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Telephone | 806-354-9540
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Fax | 806-354-9588
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR STE 1048
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City | AMARILLO
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State | TX
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Zip | 79106-2108
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Country | US
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Telephone | 806-576-4999
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Fax | 855-259-1838
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 118679
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP145165
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP145165
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License Number State | TX
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