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General NPI Number Information
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NPI Number | 1720641962
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Entity Type | Individual
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Provider Name | ESTRELLA ANISE GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 04/14/2019
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Last Update Date | 04/14/2019
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Provider Practice Location Address
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Address Line | 2880 N ROADRUNNER PKWY
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City | LAS CRUCES
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State | NM
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Zip | 88011-0875
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Country | US
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Telephone | 575-522-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 4879 VILLETA AVE
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City | LAS CRUCES
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State | NM
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Zip | 88012-0806
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4049
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License Number State | NM
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