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General NPI Number Information
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NPI Number | 1003616855
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Entity Type | Individual
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Provider Name | JOSE LUIS GARCIA JR. MA
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Gender | Male
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 120 PRECISION # A100A300
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City | BUDA
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State | TX
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Zip | 78610-5925
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Country | US
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Telephone | 512-354-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 600 E FM 1626 APT 10201
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City | AUSTIN
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State | TX
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Zip | 78748-2678
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Country | US
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Telephone | 347-861-5898
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 8082
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License Number State | TX
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