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General NPI Number Information
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NPI Number | 1508472218
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Entity Type | Individual
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Provider Name | JOCELYN GARCIA MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 23329 OLD VALLEY DR
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City | MORENO VALLEY
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State | CA
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Zip | 92553-5654
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Country | US
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Telephone | 213-842-1889
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Fax |
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Provider Business Mailing Address
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Address Line | 23329 OLD VALLEY DR
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City | MORENO VALLEY
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State | CA
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Zip | 92553-5654
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Country | US
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Telephone | 213-842-1889
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20557
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 181466
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License Number State | CA
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