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General NPI Number Information
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NPI Number | 1467021360
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Entity Type | Individual
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Provider Name | LUCY GARCIA
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 2109 SW 27TH AVE # 33145
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City | CORAL GABLES
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State | FL
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Zip | 33145-3415
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Country | US
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Telephone | 305-859-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 16881 SW 1ST MNR
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1007
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Country | US
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Telephone | 786-442-9943
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 17218
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License Number State | FL
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