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General NPI Number Information
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NPI Number | 1265995047
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Entity Type | Individual
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Provider Name | JAMIE LEE GARCIA LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 2010 SE COLFAX CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-6914
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Country | US
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Telephone | 517-745-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 SE COLFAX CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-6914
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Country | US
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Telephone | 517-745-8396
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801087227
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10199-23
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18989
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License Number State | FL
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