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General NPI Number Information
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NPI Number | 1396522082
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Entity Type | Individual
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Provider Name | RICARDO GARCIA JR. LMT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 7390 LOWELL BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80030-4879
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Country | US
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Telephone | 407-308-2878
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Fax |
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Provider Business Mailing Address
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Address Line | 6940 CLAY ST
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City | DENVER
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State | CO
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Zip | 80221-2369
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Country | US
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Telephone | 720-838-6881
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0004655
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License Number State | CO
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