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General NPI Number Information
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NPI Number | 1396919627
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Entity Type | Organization
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Legal Business Name | EVELIO D GARCIA MD, FACC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 2046 FOREST LN STE 100
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City | GARLAND
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State | TX
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Zip | 75042-7939
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Country | US
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Telephone | 972-494-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 2046 FOREST LN STE 100
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City | GARLAND
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State | TX
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Zip | 75042-7939
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Country | US
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Telephone | 972-494-4600
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOSEPHINE DC GARCIA
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Credential | FNP-C
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Telephone | 972-494-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J6112
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License Number State | TX
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