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General NPI Number Information
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NPI Number | 1366266629
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Entity Type | Individual
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Provider Name | MARLON VITUG GARCIA MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1207 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4513
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Country | US
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Telephone | 951-925-2523
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Fax |
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Provider Business Mailing Address
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Address Line | 14630 ROSEA CT
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4754
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Country | US
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Telephone | 781-351-9456
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95032688
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License Number State | CA
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