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General NPI Number Information
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NPI Number | 1568347771
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Entity Type | Organization
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Legal Business Name | JOSE A GARCIA DO MEDICAL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 581 4TH AVE
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City | GUSTINE
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State | CA
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Zip | 95322-1143
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Country | US
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Telephone | 209-854-1120
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Fax | 209-854-1118
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Provider Business Mailing Address
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Address Line | 549 CROW HILL DR
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City | NEWMAN
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State | CA
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Zip | 95360-9537
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Country | US
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Telephone | 209-854-1120
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Fax | 209-854-1118
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Authorized Official
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Title or Position | OWNER
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Name | JOSE GARCIA
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Credential | DO
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Telephone | 209-854-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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