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General NPI Number Information
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NPI Number | 1740721893
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Entity Type | Organization
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Legal Business Name | GONZALEZ HEALTH SERVICES CORP.
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 10700 CARIBBEAN BLVD SUITE 305
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City | CUTLER BAY
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State | FL
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Zip | 33189
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Country | US
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Telephone | 786-738-6475
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Fax | 786-842-3648
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Provider Business Mailing Address
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Address Line | 10700 CARIBBEAN BLVD SUITE 305
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City | CUTLER BAY
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State | FL
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Zip | 33189
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Country | US
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Telephone | 786-738-6475
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Fax | 786-842-3648
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Authorized Official
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Title or Position | CEO
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Name | ISIDRO F GONZALEZ
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Credential | BCBA
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Telephone | 786-286-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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