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General NPI Number Information
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NPI Number | 1356736631
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Entity Type | Individual
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Provider Name | MICHAEL GARCIA APRN
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 2720 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-0424
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Country | US
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Telephone | 702-877-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 BREZINE AVE
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City | HENDERSON
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State | NV
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Zip | 89044-1793
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Country | US
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Telephone | 702-888-2356
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Fax | 702-888-2356
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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 | 811461
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License Number State | NV
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