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General NPI Number Information
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NPI Number | 1164347316
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Entity Type | Individual
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Provider Name | DIEGO BENJAMIN GARCIA DPT
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Gender | Male
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 2909 S 12TH ST
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City | TACOMA
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State | WA
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Zip | 98405-2540
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Country | US
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Telephone | 253-316-8097
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 ELDORADO AVE
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City | FIRCREST
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State | WA
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Zip | 98466-6717
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.70135552
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License Number State | WA
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