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General NPI Number Information
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NPI Number | 1598924789
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Entity Type | Organization
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Legal Business Name | MARTIN G GARCIA
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 1402 SW MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1556
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Country | US
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Telephone | 210-923-8066
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Fax | 210-923-8554
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Provider Business Mailing Address
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Address Line | 1402 SW MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1556
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Country | US
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Telephone | 210-923-8066
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Fax | 210-923-8554
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARTIN G GARCIA
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Credential | DDS
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Telephone | 210-923-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13872
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License Number State | TX
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