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General NPI Number Information
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NPI Number | 1962383422
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Entity Type | Individual
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Provider Name | ALEXANDRO GONZALEZ
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Gender | Male
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 4907 NW 43RD ST STE C
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City | GAINESVILLE
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State | FL
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Zip | 32606-2007
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Country | US
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Telephone | 352-372-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 3491 SE 196TH CT
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City | MORRISTON
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State | FL
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Zip | 32668-3475
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Country | US
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Telephone | 352-274-0907
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RBT-25-468566
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License Number State | FL
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