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General NPI Number Information
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NPI Number | 1306715677
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Entity Type | Individual
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Provider Name | JOSHUA LUKE GARZA FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1 RIVERSIDE CIR STE 102
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City | ROANOKE
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State | VA
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Zip | 24016-4962
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Country | US
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Telephone | 540-224-5170
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CAMPBELL AVE SW STE 205
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City | ROANOKE
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State | VA
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Zip | 24011-1226
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Country | US
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Telephone | 561-322-5840
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024195280
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License Number State | VA
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