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General NPI Number Information
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NPI Number | 1073757688
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Entity Type | Individual
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Provider Name | MONICA NICOLE GARZA-VICKERY L.M., NARM C.P.M.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 12830 TARRYTOWN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78233-4628
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Country | US
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Telephone | 210-262-7201
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Fax | 612-545-2475
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Provider Business Mailing Address
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Address Line | 14080 NACOGDOCHES RD # 542
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1944
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Country | US
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Telephone | 210-262-7201
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Fax | 612-545-2475
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 99068
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License Number State | TX
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