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General NPI Number Information
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NPI Number | 1093729980
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Entity Type | Individual
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Provider Name | ALBERTO ALFONSO GARCIA PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1815 N MASTICK WAY STE 2
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City | NOGALES
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State | AZ
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Zip | 85621-1058
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Country | US
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Telephone | 520-281-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 5160 E CIRCULO LAS CABANAS
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City | TUCSON
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State | AZ
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Zip | 85711-7709
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Country | US
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Telephone | 520-571-6749
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5269
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License Number State | AZ
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