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General NPI Number Information
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NPI Number | 1760784987
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Entity Type | Individual
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Provider Name | ALEJANDRO GABRIEL GONZALEZ DPT
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Gender | Male
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 1771 CORAL WAY
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City | CORAL GABLES
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State | FL
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Zip | 33145-2728
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Country | US
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Telephone | 305-859-2454
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Fax | 305-859-2457
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Provider Business Mailing Address
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Address Line | 141 SW 52ND CT
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City | CORAL GABLES
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State | FL
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Zip | 33134-1131
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Country | US
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Telephone | 305-282-7252
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25977
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License Number State | FL
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