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General NPI Number Information
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NPI Number | 1689905952
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Entity Type | Individual
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Provider Name | EDWARD JOSEPH GONZALEZ FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 610 E MAIN ST
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City | ELMA
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State | WA
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Zip | 98541-3001
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Country | US
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Telephone | 360-346-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 36662 VEILED ST
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City | ANCHOR POINT
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State | AK
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Zip | 99556-9123
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Country | US
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Telephone | 907-987-5830
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200019
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License Number State | VI
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 24080
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License Number State | AK
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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 | 1399
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60432809
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License Number State | WA
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