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General NPI Number Information
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NPI Number | 1518334622
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Entity Type | Organization
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Legal Business Name | LOUIS R. GARCIA, D.D.S, P.L.L.C
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 22211 W IH 10 SUITE 1103
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1699
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Country | US
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Telephone | 210-698-6262
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Fax | 210-579-7128
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Provider Business Mailing Address
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Address Line | 22211 W IH 10 SUITE 1103
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1699
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Country | US
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Telephone | 210-698-6262
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Fax | 210-579-7128
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LOUIS R GARCIA
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Credential | D.D.S
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Telephone | 210-698-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15242
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License Number State | TX
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