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NPI 1083597744

NPI 1083597744 : ISIS GARCIA : VENTURA, CA

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General NPI Number Information
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    NPI Number           |    1083597744
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    Entity Type          |    Individual 
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    Provider Name        |    ISIS GARCIA
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    Gender               |     
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Dates
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    Enumeration Date     |    07/30/2025
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    4880 MARKET ST 
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    City                 |    VENTURA
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    State                |    CA
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    Zip                  |    93003-7783
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    Country              |    US
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    Telephone            |    805-644-7827
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25250 EVERETT DR 
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    City                 |    SANTA CLARITA
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    State                |    CA
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    Zip                  |    91321-2418
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    Country              |    US
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    Telephone            |    661-210-9181
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    CA
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