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General NPI Number Information
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NPI Number | 1225102957
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Entity Type | Individual
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Provider Name | MARA GARCIA ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 1150 NW 14 STREET PAC 708
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-243-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 SW 153RD TER
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City | MIRAMAR
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State | FL
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Zip | 33027-3660
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Country | US
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Telephone | 954-538-0434
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9174303
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License Number State | FL
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