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General NPI Number Information
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NPI Number | 1801691563
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Entity Type | Individual
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Provider Name | GUADALUPE GONZALEZ PT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 6620 CYPRESSWOOD DR STE 180
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City | SPRING
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State | TX
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Zip | 77379-0018
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Country | US
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Telephone | 346-340-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 11550 SPRINGSHIRE DR
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City | HOUSTON
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State | TX
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Zip | 77066-4771
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Country | US
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Telephone | 281-562-8582
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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 | 1405629
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License Number State | TX
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