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General NPI Number Information
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NPI Number | 1912199936
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Entity Type | Individual
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Provider Name | ARMANDO GONZALEZ M.D
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 3713 S. CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33461-7469
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Country | US
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Telephone | 561-649-9296
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Fax | 561-649-9382
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Provider Business Mailing Address
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Address Line | 3713 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3753
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Country | US
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Telephone | 561-649-9296
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Fax | 561-649-9382
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 001739
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME109755
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License Number State | FL
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