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General NPI Number Information
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NPI Number | 1053093880
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Entity Type | Organization
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Legal Business Name | DANIEL GARCIA MD PHD PC
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 12607 STANWOOD PL
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City | LOS ANGELES
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State | CA
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Zip | 90066
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Country | US
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Telephone | 310-613-9688
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Fax |
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Provider Business Mailing Address
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Address Line | 115 W CALIFORNIA BLVD # 9014
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City | PASADENA
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State | CA
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Zip | 91105-3005
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Country | US
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Telephone | 310-613-9688
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTIONER
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Name | DANIEL GARCIA
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Credential | MD
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Telephone | 310-613-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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