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General NPI Number Information
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NPI Number | 1770973604
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Entity Type | Organization
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Legal Business Name | J.A. GONZALEZ & ASSOCIADOS, INC.
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | CALLE BALDOROTY #11 (PUEBLO)
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-315-2356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | SALINAS
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State | PR
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Zip | 00751-0429
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Country | US
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Telephone | 787-315-2356
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Fax | 787-824-2181
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE A. GONZALEZ II
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Credential |
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Telephone | 787-315-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 16-P-2985
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License Number State | PR
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