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General NPI Number Information
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NPI Number | 1346767225
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Entity Type | Individual
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Provider Name | ROBERT GARCIA
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 401 W MORRISON AVE STE C
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City | SANTA MARIA
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State | CA
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Zip | 93458-6124
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Country | US
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Telephone | 805-347-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W BARTON AVE APT 3
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City | LOMPOC
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State | CA
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Zip | 93436-3384
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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