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General NPI Number Information
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NPI Number | 1811711294
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Entity Type | Individual
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Provider Name | REBEKKA GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2711 EXCHANGE CT STE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4017
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Country | US
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Telephone | 561-494-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 COLUMBUS ST
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City | LAKE PLACID
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State | FL
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Zip | 33852-7119
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Country | US
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Telephone | 863-840-7982
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI7083
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License Number State | FL
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