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General NPI Number Information
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NPI Number | 1205072972
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Entity Type | Individual
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Provider Name | COLLEEN MARIE GARCIA RN,BSN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 1504 MALON BAY DR
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City | ORLANDO
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State | FL
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Zip | 32828-6801
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Country | US
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Telephone | 321-662-5964
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Fax | 407-668-4064
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Provider Business Mailing Address
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Address Line | 1504 MALON BAY DR
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City | ORLANDO
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State | FL
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Zip | 32828-6801
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Country | US
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Telephone | 321-662-5964
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Fax | 407-668-4064
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 230682
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License Number State | FL
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