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General NPI Number Information
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NPI Number | 1073177432
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Entity Type | Individual
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Provider Name | MALIA GARCIA MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 1652 S VAL VISTA DR STE 127
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City | MESA
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State | AZ
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Zip | 85204-7378
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Country | US
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Telephone | 623-253-6327
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Fax |
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Provider Business Mailing Address
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Address Line | 3679 W PONY TRL
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City | TUCSON
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State | AZ
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Zip | 85742-8849
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Country | US
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Telephone | 520-301-5887
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 225436
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License Number State | AZ
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