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General NPI Number Information
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NPI Number | 1376931709
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER GARCIA
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 15630 RUIDOSA RUN
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City | HELOTES
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State | TX
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Zip | 78023-4489
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Country | US
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Telephone | 210-269-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 15630 RUIDOSA RUN
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City | HELOTES
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State | TX
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Zip | 78023-4489
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Country | US
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Telephone | 210-269-4747
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. CHRISTOPHER RENE GARCIA
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Credential | NP
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Telephone | 210-269-4747
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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 | AP127184
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License Number State | TX
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