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General NPI Number Information
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NPI Number | 1528232972
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Entity Type | Organization
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Legal Business Name | CLINICA DENTAL DR. GARCIA JORDAN PSC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | AVE AMALIA PAOLI HP 13 LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-795-0320
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Fax | 787-261-7295
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Provider Business Mailing Address
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Address Line | AVE AMALIA PAOLI HP 13 LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-795-0320
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Fax | 787-261-7295
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HANS G GARCIA
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Credential | D
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Telephone | 787-795-0320
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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 |
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License Number State |
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