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General NPI Number Information
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NPI Number | 1841402831
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Entity Type | Individual
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Provider Name | JOHN D GONZALEZ RN, DNP,ACNP-BC,NP-C
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 5201 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7708
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Country | US
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Telephone | 214-590-1396
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Fax |
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Provider Business Mailing Address
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Address Line | 820 S MACARTHUR BLVD 105-119
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City | COPPELL
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State | TX
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Zip | 75019-4216
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Country | US
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Telephone | 214-448-5817
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 201350013NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 201350014NP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP113908
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License Number State | TX
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