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General NPI Number Information
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NPI Number | 1669026704
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Entity Type | Individual
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Provider Name | CHRISTINE M GONZALES FNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 101 S. BROADWAY
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City | ELSA
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State | TX
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Zip | 78543
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Country | US
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Telephone | 956-262-1304
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Fax | 956-262-1304
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Provider Business Mailing Address
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Address Line | 307 N D SALINAS BLVD
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City | DONNA
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State | TX
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Zip | 78537
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Country | US
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Telephone | 956-464-2402
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Fax | 956-464-3339
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3631
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP142535
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142535
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License Number State | TX
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