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General NPI Number Information
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NPI Number | 1760594303
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Entity Type | Individual
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Provider Name | FROYLAN CLAUDIO GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 790 CHURCH ST NE SUITE 430
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City | MARIETTA
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State | GA
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Zip | 30060-7282
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Country | US
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Telephone | 770-429-9100
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Fax | 770-429-1391
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Provider Business Mailing Address
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Address Line | 1930 BRANNAN RD
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City | MCDONOUGH
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State | GA
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Zip | 30253-4310
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Country | US
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Telephone | 678-284-4040
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Fax | 378-284-4076
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2006024406
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 061078
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License Number State | GA
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