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General NPI Number Information
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NPI Number | 1639588825
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Entity Type | Individual
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Provider Name | NORMA GONZALEZS
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 3702 CANDO MUNGIA
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City | MISSION
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State | TX
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Zip | 78572-1550
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Country | US
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Telephone | 956-240-2251
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Fax | 361-356-4304
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Provider Business Mailing Address
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Address Line | PO BOX 2641
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City | MISSION
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State | TX
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Zip | 78573-0044
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Country | US
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Telephone | 956-890-9667
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Fax | 361-356-4304
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 715397
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License Number State | TX
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