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General NPI Number Information
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NPI Number | 1265626097
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Entity Type | Organization
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Legal Business Name | ALICIA A. GARCIA,PH.D.,L.L.C.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1702 E HIGHLAND AVE STE 404
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City | PHOENIX
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State | AZ
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Zip | 85016-4630
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Country | US
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Telephone | 602-418-3113
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Fax | 602-604-9600
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Provider Business Mailing Address
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Address Line | 14188 N 106TH WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-1762
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Country | US
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Telephone | 602-418-3113
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Fax | 602-604-9600
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA A GARCIA
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Credential | PH.D.
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Telephone | 602-418-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 03552
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License Number State | AZ
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