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General NPI Number Information
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NPI Number | 1003292673
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Entity Type | Individual
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Provider Name | JESSICA GARZA-RICE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 300 SEASIDE AVE
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City | MILFORD
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State | CT
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Zip | 06460-4603
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Country | US
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Telephone | 203-301-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MONROE ST
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City | MILFORD
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State | CT
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Zip | 06460-5760
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Country | US
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Telephone | 203-767-6625
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10567
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License Number State | CT
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