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General NPI Number Information
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NPI Number | 1730553009
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Entity Type | Individual
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Provider Name | ANGEL EMMANUEL GOMEZ LSA
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Gender | Male
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 2915 W BITTERS RD STE 201
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2007
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Country | US
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Telephone | 210-598-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 CHESTNUT BND
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4664
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Country | US
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Telephone | 956-334-6026
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Fax | 956-334-6026
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00989
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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