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NPI 1154112845

NPI 1154112845 : VICTOR MOISES GARCIA AUD : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1154112845
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    Entity Type          |    Individual 
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    Provider Name        |    VICTOR MOISES GARCIA AUD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/13/2025
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    1330 CORAL WAY STE 403 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33145-2945
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    Country              |    US
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    Telephone            |    305-325-0090
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15280 NW 79TH CT STE 200 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016-5873
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    Country              |    US
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    Telephone            |    305-558-3724
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AY2921
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    License Number State |    FL
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