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General NPI Number Information
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NPI Number | 1639576911
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Entity Type | Individual
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Provider Name | APOLLO GONZALEZ
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Gender | Male
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 3001 N GLENOAKS DR
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City | MIDWEST CITY
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State | OK
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Zip | 73110-1601
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Country | US
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Telephone | 806-584-6944
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Fax | 405-601-2023
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Provider Business Mailing Address
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Address Line | 3001 N GLENOAKS DR
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City | MIDWEST CITY
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State | OK
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Zip | 73110-1601
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Country | US
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Telephone | 806-584-6944
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Fax | 405-601-2023
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1398
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10778
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License Number State | OK
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Taxonomy #9
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | OK
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Taxonomy #11
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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