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General NPI Number Information
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NPI Number | 1104850692
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Entity Type | Individual
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Provider Name | ROBERTO GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 10940 SHELDON RD
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City | TAMPA
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State | FL
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Zip | 33626
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Country | US
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Telephone | 813-926-4058
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Fax | 813-926-9872
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Provider Business Mailing Address
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Address Line | PO BOX 262186
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City | TAMPA
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State | FL
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Zip | 33685-2186
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Country | US
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Telephone | 813-926-4058
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Fax | 813-926-9872
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 46917
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License Number State | FL
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