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General NPI Number Information
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NPI Number | 1639696982
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Entity Type | Individual
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Provider Name | ISELA GARCIA BA, ST-ASST
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 1004 MISSION DR
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-6129
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Country | US
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Telephone | 830-625-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 11727 CAMP REAL LN
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5720
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Country | US
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Telephone | 210-834-1009
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 32770
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License Number State | TX
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