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General NPI Number Information
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NPI Number | 1053841676
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Entity Type | Organization
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Legal Business Name | GARCIA INFECTIOUS DISEASES LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 7351 WEST OAKLAND PARK BLVD SUITE 105
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 754-300-1977
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Fax | 954-272-7638
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Provider Business Mailing Address
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Address Line | PO BOX 821807
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City | PEMBROKE PINES
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State | FL
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Zip | 33082-1807
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Country | US
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Telephone | 754-300-1977
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Fax | 954-272-7638
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN GARCIA
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Credential | DO
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Telephone | 754-300-1977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | OS12899
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License Number State | FL
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