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General NPI Number Information
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NPI Number | 1043981954
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Entity Type | Individual
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Provider Name | JOSE DANIEL GARCIA LMSW,LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 301 WILLIAMSTON CENTER RD STE 800
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City | WILLIAMSTON
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State | MI
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Zip | 48895-8502
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Country | US
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Telephone | 517-996-6097
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Fax | 517-996-6099
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Provider Business Mailing Address
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Address Line | 823 W PROUTY ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-1703
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Country | US
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Telephone | 269-625-1761
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801095326
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License Number State | MI
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