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General NPI Number Information
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NPI Number | 1447602529
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Entity Type | Organization
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Legal Business Name | IVONNE GARCIA
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 17324 SW 108TH CT
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City | MIAMI
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State | FL
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Zip | 33157-4004
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Country | US
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Telephone | 305-984-2193
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Fax |
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Provider Business Mailing Address
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Address Line | 17324 SW 108TH CT
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City | MIAMI
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State | FL
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Zip | 33157-4004
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Country | US
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Telephone | 305-984-2193
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Fax |
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Authorized Official
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Title or Position | PHARMACY TECH
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Name | IVONNE GARCIA
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Credential | RPT
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Telephone | 305-984-2193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RPT51057
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License Number State | FL
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