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General NPI Number Information
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NPI Number | 1306636204
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Entity Type | Individual
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Provider Name | JUAN SEBASTIAN GARCIA
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Gender |
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 385 S COLUMBIA ST
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4309
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Country | US
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Telephone | 919-537-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 245 BRAEDEN WAY
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City | ALPHARETTA
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State | GA
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Zip | 30009-3002
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Country | US
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Telephone | 678-510-6347
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 14348
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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