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General NPI Number Information
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NPI Number | 1497069330
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Entity Type | Organization
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Legal Business Name | JESSICA GARZA
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 701 N AVASOLO ST STE F
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582
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Country | US
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Telephone | 956-583-4309
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Fax | 956-583-4311
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Provider Business Mailing Address
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Address Line | 2000 S MCCOLL RD STE B # 204
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City | MCALLEN
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State | TX
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Zip | 78503-1516
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Country | US
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Telephone | 956-583-4309
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Fax | 956-583-4311
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JESSICA GARZA
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Credential | L.V.N.
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Telephone | 956-583-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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