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NPI 1063200285

NPI 1063200285 : MIGUEL ANGEL GARCIA SANCHEZ : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1063200285
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    Entity Type          |    Individual 
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    Provider Name        |    MIGUEL ANGEL GARCIA SANCHEZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/28/2025
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    5998 ALCALA PARK 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92110-2492
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    Country              |    US
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    Telephone            |    786-575-4962
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5965 LINDA VISTA RD APT 4464 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92110-1496
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    CA
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