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General NPI Number Information
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NPI Number | 1265910004
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Entity Type | Organization
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Legal Business Name | JAVIER GARCIA, DNP MEDICAL OFFICE, INC
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 855 E 10TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4645
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Country | US
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Telephone | 305-987-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 5021 E 2ND AVE
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City | HIALEAH
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State | FL
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Zip | 33013-1411
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Country | US
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Telephone | 305-987-4675
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Fax |
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Authorized Official
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Title or Position | PRACTITIONER/OWNER
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Name | JAVIER GARCIA ASENCIO
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Credential | FNP
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Telephone | 305-987-4675
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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 |
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License Number State |
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