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General NPI Number Information
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NPI Number | 1164719910
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Entity Type | Individual
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Provider Name | MERCEDES GARCIA ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 7401 N UNIVERSITY DR STE 103
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City | TAMARAC
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State | FL
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Zip | 33321-2933
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Country | US
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Telephone | 954-233-0913
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Fax | 954-591-5011
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Provider Business Mailing Address
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Address Line | 18743 SW 24TH ST
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City | MIRAMAR
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State | FL
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Zip | 33029-5934
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Country | US
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Telephone | 954-233-0913
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Fax | 954-391-5011
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9260510
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License Number State | FL
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