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General NPI Number Information
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NPI Number | 1013984004
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Entity Type | Individual
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Provider Name | MARI TERE GARCIA-RONDON MD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | TORRE DEL METROPOLITANO SUITE 408
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-455-9535
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Fax | 787-455-9389
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Provider Business Mailing Address
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Address Line | PO BOX 40760
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City | MESA
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State | AZ
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Zip | 85274
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Country | US
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Telephone | 480-706-9430
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Fax | 480-461-1785
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 12865
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 12865
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 12865
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License Number State | PR
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