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General NPI Number Information
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NPI Number | 1134093271
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Entity Type | Individual
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Provider Name | JESUS GARCIA DNP, APRN
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 387 I-10 W
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City | FORT STOCKTON
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State | TX
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Zip | 79735
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Country | US
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Telephone | 432-336-2004
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Fax | 432-336-4540
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Provider Business Mailing Address
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Address Line | PO BOX 501
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City | ODESSA
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State | TX
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Zip | 79760-0501
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Country | US
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Telephone | 432-703-7339
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1215625
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License Number State | TX
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