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General NPI Number Information
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NPI Number | 1679383384
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Entity Type | Individual
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Provider Name | LUISA FERNANDA GONGORA DDS
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 820 W BROADWAY ST
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City | NEEDLES
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State | CA
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Zip | 92363-2729
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Country | US
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Telephone | 844-444-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 6517 OLD OXFORD AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-0201
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Country | US
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Telephone | 617-461-2485
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 111127
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License Number State | CA
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