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General NPI Number Information
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NPI Number | 1902771397
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Entity Type | Individual
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Provider Name | ESMERALDA GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1550 N IMPERIAL AVE STE 3
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City | EL CENTRO
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State | CA
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Zip | 92243-6304
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Country | US
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Telephone | 760-352-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 305 G ANAYA AVE
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City | CALEXICO
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State | CA
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Zip | 92231-9663
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Country | US
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Telephone | 760-604-9835
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95037531
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License Number State | CA
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