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General NPI Number Information
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NPI Number | 1063873594
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Entity Type | Individual
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Provider Name | ANITA LEE GARCIA M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2621 GREEN RIVER RD STE 105 #2100
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City | CORONA
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State | CA
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Zip | 92882-7454
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Country | US
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Telephone | 714-823-7359
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Fax |
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Provider Business Mailing Address
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Address Line | 5762 LINCOLN AVE # 268
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City | CYPRESS
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State | CA
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Zip | 90630-9998
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Country | US
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Telephone | 714-823-7359
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 109331
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License Number State | CA
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