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General NPI Number Information
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NPI Number | 1356481048
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Entity Type | Individual
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Provider Name | ALFRED G GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2612 HILLSHIRE DR
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City | COLUMBIA
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State | MO
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Zip | 65203-1578
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Country | US
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Telephone | 573-445-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 2612 HILLSHIRE DR
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City | COLUMBIA
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State | MO
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Zip | 65203-1578
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Country | US
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Telephone | 573-445-2303
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2004003089
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | IL
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