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General NPI Number Information
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NPI Number | 1194516229
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Entity Type | Individual
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Provider Name | GLENN GARCIA LMT
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Gender | Male
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 10516 SILVERDALE WAY NW STE 110B
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City | SILVERDALE
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State | WA
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Zip | 98383-8745
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Country | US
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Telephone | 360-633-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 2143 NW RUSTLING FIR LN
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City | SILVERDALE
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State | WA
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Zip | 98383-7867
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Country | US
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Telephone | 909-767-9373
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA61526076
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License Number State | WA
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