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General NPI Number Information
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NPI Number | 1003972183
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Entity Type | Individual
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Provider Name | GREGORY PAUL GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 16251 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3017
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Country | US
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Telephone | 206-431-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 4753 LATONA AVE NE
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City | SEATTLE
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State | WA
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Zip | 98105-4833
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Country | US
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Telephone | 206-547-2495
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00043536
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | MD00043536
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License Number State | WA
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