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General NPI Number Information
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NPI Number | 1144175183
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Entity Type | Individual
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Provider Name | THOMAS DONEVAN GARCIA
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Gender | Male
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 6060 N PARAMOUNT BLVD
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City | LONG BEACH
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State | CA
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Zip | 90805-3711
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Country | US
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Telephone | 562-634-9534
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Fax |
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Provider Business Mailing Address
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Address Line | 15511 LONGWORTH AVE
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City | NORWALK
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State | CA
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Zip | 90650-6271
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Country | US
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Telephone | 562-634-9534
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95336044
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License Number State | CA
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