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General NPI Number Information
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NPI Number | 1487630554
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Entity Type | Organization
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Legal Business Name | JORGE O GARCIA, M.D., LLC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 2531 EVANS ST SUITE A
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City | NEWBERRY
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State | SC
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Zip | 29108-2939
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Country | US
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Telephone | 803-276-7978
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Fax | 803-675-0750
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Provider Business Mailing Address
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Address Line | 2531 EVANS ST SUITE A
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City | NEWBERRY
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State | SC
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Zip | 29108-2939
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Country | US
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Telephone | 803-276-7978
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Fax | 803-675-0750
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. JORGE O GARCIA
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Credential | M.D
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Telephone | 803-276-7978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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