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General NPI Number Information
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NPI Number | 1023373388
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Entity Type | Individual
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Provider Name | IGNACIO JOSE GARCIA D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 4932 WEST S.R. 46 1006
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City | SANFORD
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State | FL
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Zip | 32771
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Country | US
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Telephone | 407-979-4908
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Fax | 407-979-4967
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Provider Business Mailing Address
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Address Line | 310 LANGFORD DR
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City | CHULUOTA
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State | FL
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Zip | 32766-9666
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Country | US
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Telephone | 407-454-1368
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10694
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License Number State | FL
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