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General NPI Number Information
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NPI Number | 1477100329
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Entity Type | Individual
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Provider Name | HAI GARCIA
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Gender | Male
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 411 LEWIS RD SPC 271
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City | SAN JOSE
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State | CA
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Zip | 95111-2115
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Country | US
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Telephone | 408-516-6225
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 S WINCHESTER BLVD STE N-260
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City | SAN JOSE
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State | CA
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Zip | 95128-3901
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Country | US
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Telephone | 408-516-6225
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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