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General NPI Number Information
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NPI Number | 1114141066
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Entity Type | Individual
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Provider Name | PABLO GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 3815 HIGHLAND AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1500
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Country | US
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Telephone | 646-420-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 237570
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | RS20070414
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036.134208
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License Number State | IL
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