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General NPI Number Information
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NPI Number | 1699705442
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Entity Type | Individual
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Provider Name | FERNANDO L. GOMEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 7806 LAKE UNDERHILL RD SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32822-8232
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Country | US
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Telephone | 407-281-9229
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Fax | 407-207-7180
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Provider Business Mailing Address
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Address Line | 7806 LAKE UNDERHILL RD SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32822-8232
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Country | US
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Telephone | 407-281-9229
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Fax | 407-207-7180
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME78577
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License Number State | FL
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