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General NPI Number Information
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NPI Number | 1528792496
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Entity Type | Individual
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Provider Name | DR. JOSE IVAN GARCIA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 3360 S MCCARRAN BLVD
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City | RENO
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State | NV
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Zip | 89502-6442
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Country | US
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Telephone | 775-825-0557
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Fax | 775-825-3557
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Provider Business Mailing Address
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Address Line | 4275 W 4TH ST UNIT 201
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City | RENO
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State | NV
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Zip | 89523-8806
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Country | US
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Telephone | 702-539-2423
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22941
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License Number State | NV
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