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General NPI Number Information
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NPI Number | 1568668671
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Entity Type | Individual
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Provider Name | IXSA T. GARCIA-JUARBE D.O, D.P.M
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 60 E 3RD ST STE 102C
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City | HIALEAH
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State | FL
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Zip | 33010-4917
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Country | US
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Telephone | 786-441-5330
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Fax | 786-209-2081
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Provider Business Mailing Address
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Address Line | 60 E 3RD ST STE 102C
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City | HIALEAH
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State | FL
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Zip | 33010-4917
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Country | US
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Telephone | 786-441-5330
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS12430
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3300
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License Number State | FL
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