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General NPI Number Information
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NPI Number | 1265517866
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Entity Type | Individual
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Provider Name | MIGUEL GARCIA DDS
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 4616 N 51ST AVE STE 111
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City | PHOENIX
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State | AZ
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Zip | 85031-1720
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Country | US
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Telephone | 623-873-2434
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Fax | 623-873-2061
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Provider Business Mailing Address
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Address Line | 7007 E GOLD DUST AVE APT 2043
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-4510
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Country | US
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Telephone | 602-403-2768
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D7033
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License Number State | AZ
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