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General NPI Number Information
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NPI Number | 1780374579
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Entity Type | Individual
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Provider Name | CRISTINA MARIA GONZALEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 10701 MIRAMAR BLVD
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City | MIRAMAR
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State | FL
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Zip | 33025-6549
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Country | US
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Telephone | 786-708-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 7451 RIVIERA BLVD STE 223
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City | MIRAMAR
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State | FL
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Zip | 33023-6575
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Country | US
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Telephone | 786-708-1540
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1980
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License Number State | FL
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