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General NPI Number Information
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NPI Number | 1801515382
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Entity Type | Individual
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Provider Name | ERIN GONZALEZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-929-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 2 STEPHANIE LN
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1551
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Country | US
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Telephone | 914-602-3023
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 028784
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License Number State | NY
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