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General NPI Number Information
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NPI Number | 1881581023
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Entity Type | Individual
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Provider Name | DAVID KIRK GONZALES DNP
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Gender | Male
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 50 N MEDICAL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-3660
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Country | US
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Telephone | 801-581-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 W 90 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-2054
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Country | US
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Telephone | 801-404-4034
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10638227-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 14230566-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 14230566-4405
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License Number State | UT
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