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General NPI Number Information
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NPI Number | 1912149014
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Entity Type | Organization
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Legal Business Name | FRANCISCO H GONZALEZ MDPA
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 1250 SW 27TH AVE SUITE 205
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City | MIAMI
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State | FL
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Zip | 33135-4741
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Country | US
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Telephone | 305-642-1895
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Fax | 786-621-0334
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Provider Business Mailing Address
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Address Line | 19918 SW 7TH PL
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1256
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Country | US
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Telephone | 305-642-1895
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Fax | 786-621-0334
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCISCO H GONZALEZ
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Credential | MD
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Telephone | 305-642-1895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0028574
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License Number State | ZZ
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