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General NPI Number Information
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NPI Number | 1346727500
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Entity Type | Individual
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Provider Name | LAUREN CHRISTINE GARCIA LM, CPM, NCMA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 297 N 3855 E
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City | RIGBY
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State | ID
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Zip | 83442-5124
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Country | US
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Telephone | 208-745-7571
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Fax | 208-745-8924
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Provider Business Mailing Address
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Address Line | 566 E 13TH ST
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City | IDAHO FALLS
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State | ID
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Zip | 83404-5363
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Country | US
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Telephone | 208-351-0540
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MID-87
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License Number State | ID
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