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General NPI Number Information
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NPI Number | 1538438072
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Entity Type | Organization
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Legal Business Name | ALEX GARCIA-PULIDO M D P A
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 6216 SAINT AUGUSTINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2509
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Country | US
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Telephone | 904-448-3884
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Fax | 904-448-3886
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Provider Business Mailing Address
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Address Line | 6216 SAINT AUGUSTINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2509
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Country | US
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Telephone | 904-448-3884
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Fax | 904-448-3886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX GARCIA PULIDO
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Credential | M.D.
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Telephone | 904-448-3884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0051206
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License Number State | FL
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