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General NPI Number Information
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NPI Number | 1558300376
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Entity Type | Individual
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Provider Name | STACEY R GARCIA MS, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 1202 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5603
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Country | US
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Telephone | 352-515-0580
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Fax | 352-515-0603
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Provider Business Mailing Address
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Address Line | 486 CASTILLE DR
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City | SPRING HILL
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State | FL
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Zip | 34608-8493
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Country | US
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Telephone | 352-293-4398
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Fax | 352-293-4398
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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 | FL 20328
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License Number State | FL
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