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NPI 1417831850

NPI 1417831850 : DR. IXEL GARCIA : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1417831850
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    Entity Type          |    Individual 
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    Provider Name        |    DR. IXEL GARCIA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2025
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    Last Update Date     |    08/08/2025
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Provider Practice Location Address
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    Address Line         |    520 ILLINOIS ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143-2501
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    Country              |    US
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    Telephone            |    415-353-9986
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    554 N CULLEN AVE 
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    City                 |    GLENDORA
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    State                |    CA
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    Zip                  |    91741-2122
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    Country              |    US
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    Telephone            |    626-646-6706
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    308497
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    License Number State |    CA
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