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General NPI Number Information
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NPI Number | 1952278954
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Entity Type | Individual
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Provider Name | INGRID GONZALEZ ABREU
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Gender | Female
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 128 DAISY FIELD CT
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City | BOWLING GREEN
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State | KY
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Zip | 42104-6525
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Country | US
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Telephone | 862-306-2642
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Fax |
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Provider Business Mailing Address
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Address Line | 128 DAISY FIELD CT
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City | BOWLING GREEN
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State | KY
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Zip | 42104-6525
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Country | US
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Telephone | 862-306-2642
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | G64593630057761
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License Number State | NJ
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