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General NPI Number Information
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NPI Number | 1962445940
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Entity Type | Individual
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Provider Name | ABEL A GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 2299 BRODHEAD RD SUITE N
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City | BETHLEHEM
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State | PA
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Zip | 18020-8908
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Country | US
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Telephone | 610-882-2052
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Fax | 610-882-2054
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Provider Business Mailing Address
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Address Line | 2299 BRODHEAD RD
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City | BETHLEHEM
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State | PA
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Zip | 18020-8908
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Country | US
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Telephone | 610-882-2052
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Fax | 610-882-2054
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MD041390E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MD041390E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD041390E
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License Number State | PA
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