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General NPI Number Information
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NPI Number | 1992947840
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Entity Type | Individual
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Provider Name | MARIA F GONZALEZ RD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 900 WALT WHITMAN RD STE 303
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City | MELVILLE
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State | NY
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Zip | 11747-2215
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Country | US
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Telephone | 516-388-7698
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Fax |
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Provider Business Mailing Address
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Address Line | 184 HALLOCK RD APT 5-G1
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City | LAKE GROVE
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State | NY
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Zip | 11755-1409
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Country | US
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Telephone | 516-606-5408
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 888677
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License Number State | NY
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