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General NPI Number Information
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NPI Number | 1225629330
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Entity Type | Individual
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Provider Name | LAURA ANN GARZA RPH
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 2800 ENTERPRISE ST STE 5
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-1106
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Country | US
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Telephone | 866-779-1696
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Fax | 401-652-1288
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Provider Business Mailing Address
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Address Line | 746 DANVER LN
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City | BEECH GROVE
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State | IN
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Zip | 46107-3329
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Country | US
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Telephone | 317-786-5260
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Fax | 401-652-1288
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26018575A
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License Number State | IN
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