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General NPI Number Information
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NPI Number | 1376506865
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Entity Type | Individual
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Provider Name | AWILDA GARCIA MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 1034 AVE HOSTOS
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City | PONCE
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State | PR
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Zip | 00716-1115
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Country | US
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Telephone | 787-843-9393
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Fax | 789-784-1007
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Provider Business Mailing Address
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Address Line | CALLE 2 # N 13 URB. SAN JORGE
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-430-5233
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Fax | 787-841-0077
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6054
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License Number State | PR
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