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General NPI Number Information
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NPI Number | 1508505736
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Entity Type | Individual
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Provider Name | ALAIN GARCIA PTA
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Gender | Male
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 06/04/2022
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Provider Practice Location Address
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Address Line | 3990 SHERIDAN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3661
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Country | US
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Telephone | 786-651-1605
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 SW 22ND CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33317-6676
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Country | US
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Telephone | 954-496-3408
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA29049
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License Number State | FL
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