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General NPI Number Information
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NPI Number | 1306986690
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Entity Type | Individual
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Provider Name | BETSY GARCIA NP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1955 COUNTY ROAD B2 W
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City | ROSEVILLE
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State | MN
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Zip | 55113-2723
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Country | US
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Telephone | 651-635-0054
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Fax | 651-635-0949
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Provider Business Mailing Address
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Address Line | 2000 PLYMOUTH RD STE 250
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City | MINNETONKA
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State | MN
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Zip | 55305-2376
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Country | US
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Telephone | 952-767-2326
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Fax | 952-593-5187
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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 | R070636-2
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License Number State | MN
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