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General NPI Number Information
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NPI Number | 1760317168
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Entity Type | Individual
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Provider Name | JACQUELINE GOMEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 8041 N MESA ST STE B2
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City | EL PASO
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State | TX
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Zip | 79932-1666
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Country | US
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Telephone | 915-307-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CALLE DEL ORO
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City | EL PASO
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State | TX
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Zip | 79912-7543
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1228621
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License Number State | TX
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