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General NPI Number Information
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NPI Number | 1942428388
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Entity Type | Individual
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Provider Name | GAYLENE MARIE GONSER D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4490 ELDORADO PKWY APT 2124
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City | MCKINNEY
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State | TX
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Zip | 75070-3890
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Country | US
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Telephone | 214-505-9500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 864985
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City | PLANO
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State | TX
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Zip | 75086-4985
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Country | US
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Telephone | 214-505-9500
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4959
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002207A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301005613
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License Number State | MI
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