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General NPI Number Information
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NPI Number | 1467496935
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Entity Type | Individual
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Provider Name | DR. LEONDA GARCIA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-5310
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Fax | 718-240-6568
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Provider Business Mailing Address
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Address Line | 8906 135TH AVE 7L
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City | JAMIACA
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State | NY
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Zip | 11417-2400
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Country | US
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Telephone | 718-240-5310
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 109880
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License Number State | NY
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