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General NPI Number Information
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NPI Number | 1205173416
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Entity Type | Individual
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Provider Name | BIBIANA PATRICIA GARCIA DDS
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Gender | Female
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 3200 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-7357
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Fax |
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Provider Business Mailing Address
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Address Line | 1189 MAHOGANY LN
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City | WESTON
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State | FL
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Zip | 33327-1725
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Country | US
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Telephone | 954-638-4389
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DTP584
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License Number State | FL
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