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General NPI Number Information
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NPI Number | 1295045946
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Entity Type | Organization
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Legal Business Name | GARCIA OPTOMETRIC CORP
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 508 10TH STREET EAST
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City | PALMETTO
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State | FL
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Zip | 34221
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Country | US
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Telephone | 941-721-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 WATERFORD WAY UNIT B
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City | PALMETTO
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State | FL
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Zip | 34221
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Country | US
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Telephone | 941-345-7576
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST / PRESIDENT
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Name | DR. JANE Z GARCIA
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Credential | O.D.
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Telephone | 941-721-3241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3647
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License Number State | FL
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