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General NPI Number Information
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NPI Number | 1104977792
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Entity Type | Individual
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Provider Name | JOHANA GARCIA DDS
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 653 CALLE HIPODROMO STE 203
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City | SAN JUAN
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State | PR
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Zip | 00909-2159
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Country | US
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Telephone | 787-723-4938
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Fax |
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Provider Business Mailing Address
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Address Line | VILLAS DE PARANA CALLE 4 S1-20
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-723-4938
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Fax | 787-725-2553
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2027
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License Number State | PR
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