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General NPI Number Information
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NPI Number | 1083654933
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Entity Type | Individual
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Provider Name | SANDRA L GARCIA LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 701 S HOLLY ST
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City | MONTEREY
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State | TN
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Zip | 38574-1313
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Country | US
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Telephone | 931-787-3647
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 TANNER DR
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City | MONTEREY
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State | TN
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Zip | 38574-7323
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Country | US
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Telephone | 931-787-3647
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW4840
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License Number State | TN
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