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General NPI Number Information
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NPI Number | 1548410509
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Entity Type | Individual
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Provider Name | JEWEL T GARCIA R.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 12400 HENZIE PL
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City | GRANADA HILLS
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State | CA
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Zip | 91344-1520
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Country | US
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Telephone | 818-395-5431
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Fax | 818-363-4488
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Provider Business Mailing Address
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Address Line | 12400 HENZIE PL
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City | GRANADA HILLS
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State | CA
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Zip | 91344-1520
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Country | US
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Telephone | 818-395-5431
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Fax | 818-363-4488
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32907
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License Number State | CA
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