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General NPI Number Information
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NPI Number | 1134290489
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Entity Type | Individual
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Provider Name | LEONCIO GARZA DDS
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 30070 HWY 281 SUITE 200
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City | BULVERDE
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State | TX
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Zip | 78163
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Country | US
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Telephone | 210-744-5737
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Fax |
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Provider Business Mailing Address
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Address Line | 30070 281N 200
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City | BULVERDE
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State | TX
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Zip | 78163
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Country | US
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Telephone | 210-744-5737
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18999
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License Number State | TX
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