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General NPI Number Information
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NPI Number | 1295545945
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH GARCIA
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Gender | Male
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4119 NW BARRY RD
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City | KANSAS CITY
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State | MO
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Zip | 64154-1100
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Country | US
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Telephone | 816-452-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 8690 N WYANDOTTE ST APT 106
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City | KANSAS CITY
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State | MO
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Zip | 64155-2788
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Country | US
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Telephone | 816-686-0434
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2024040079
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License Number State | MO
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