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General NPI Number Information
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NPI Number | 1093914640
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Entity Type | Organization
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Legal Business Name | JOHN LAWRENCE GARWOOD MD A MEDICAL
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 1301 20TH ST SUITE 250
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City | SANTA MONICA
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State | CA
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Zip | 90404-2050
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Country | US
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Telephone | 310-828-7494
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Fax | 310-315-0290
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Provider Business Mailing Address
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Address Line | 1301 20TH ST SUITE 250
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City | SANTA MONICA
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State | CA
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Zip | 90404-2050
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Country | US
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Telephone | 310-828-7494
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Fax | 310-315-0290
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN L GARWOOD
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Credential | MD
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Telephone | 310-828-7494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G049986
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License Number State | CA
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