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General NPI Number Information
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NPI Number | 1124830690
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Entity Type | Individual
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Provider Name | ALYSIA MARTIN GARCIA
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 313 N CEDAR ST
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City | LANSING
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State | MI
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Zip | 48912-1285
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Country | US
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Telephone | 831-706-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 313 N CEDAR ST
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City | LANSING
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State | MI
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Zip | 48912-1285
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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 | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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