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General NPI Number Information
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NPI Number | 1023213220
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Entity Type | Organization
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Legal Business Name | GARCIA FAMILY MEDICINE & WOMEN'S HEALTH, LLC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 201 S MAIN ST SUITE A
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City | GRAIN VALLEY
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State | MO
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Zip | 64029-9703
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Country | US
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Telephone | 816-867-2065
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Fax | 888-807-2718
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Provider Business Mailing Address
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Address Line | 201 S MAIN ST SUITE A
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City | GRAIN VALLEY
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State | MO
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Zip | 64029-9703
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Country | US
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Telephone | 816-867-2065
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Fax | 888-807-2718
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. THERESA C GARCIA
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Credential | MD
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Telephone | 816-867-2065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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