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1265517866 NPI number — MIGUEL GARCIA DDS

NPI Number: 1265517866
Health Care Provider/Practitioner: MIGUEL GARCIA DDS

Information about “1265517866” NPI (MIGUEL GARCIA DDS) exists in 1265517866 in HTML format HTML  |  1265517866 in plain Text format TXT  |  1265517866 in PDF (Portable Document Format) PDF  |  1265517866 in an XML format XML  formats.

NPI Number : 1265517866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265517866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "MIGUEL",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7007 E GOLD DUST AVE APT 2043",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARADISE VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85253-4510",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-403-2768",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4616 N 51ST AVE STE 111",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85031-1720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-873-2434",
    "PracticeLocationAddressFaxNumber": "623-873-2061",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "08/16/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D7033",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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