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General NPI Number Information
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NPI Number | 1508422502
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Entity Type | Individual
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Provider Name | CORAL ROSARIO GARCIA DC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 4873 PALM COAST PKWY NW UNIT 2
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City | PALM COAST
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State | FL
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Zip | 32137-3669
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Country | US
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Telephone | 386-226-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 29 S LAUREL CREEK CT
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City | ORMOND BEACH
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State | FL
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Zip | 32174-0709
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Country | US
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Telephone | 787-923-1435
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12289
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License Number State | FL
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