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General NPI Number Information
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NPI Number | 1821492851
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Entity Type | Individual
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Provider Name | DARLENE NICKOL GONZALES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 8705 ROBBY AVE SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-9007
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Country | US
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Telephone | 505-270-4255
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Fax |
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Provider Business Mailing Address
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Address Line | 8705 ROBBY AVE SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-9007
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Country | US
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Telephone | 505-270-4255
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN-73898
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 79294
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-73898
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 79294
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License Number State | NM
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