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General NPI Number Information
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NPI Number | 1164487880
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Entity Type | Individual
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Provider Name | MILLAN JAVIER GARCIA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 502 AVE BORINQUEN
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City | ARECIBO
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State | PR
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Zip | 00612-4361
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Country | US
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Telephone | 787-878-7828
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Fax | 801-286-1944
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Provider Business Mailing Address
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Address Line | PO BOX 2604
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City | ARECIBO
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State | PR
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Zip | 00613-2604
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Country | US
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Telephone | 787-878-7828
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Fax | 801-286-1944
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14115
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License Number State | PR
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