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General NPI Number Information
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NPI Number | 1427194851
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Entity Type | Individual
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Provider Name | JUAN CARLOS GARCIA DMD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | MEDITACION ST #55 CENTRO SERUICIOS MEDICOS OFIC 1B
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City | MAYAQUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-6699
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Fax | 787-833-6675
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Provider Business Mailing Address
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Address Line | 1805 MCLEARY AVE
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City | SAN JUAN
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State | PR
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Zip | 00911
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Country | US
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Telephone | 787-792-6953
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Fax | 787-775-0766
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 1329
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License Number State | PR
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