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General NPI Number Information
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NPI Number | 1316414006
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Entity Type | Individual
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Provider Name | MAYRA GARCIA LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 315 MAJORCA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4248
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Country | US
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Telephone | 562-667-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 4035 N MERIDIAN AVE APT 202
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City | MIAMI
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State | FL
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Zip | 33140-3352
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Country | US
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Telephone | 562-667-7883
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW14709
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License Number State | FL
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