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General NPI Number Information
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NPI Number | 1649654161
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Entity Type | Organization
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Legal Business Name | IDALMYS GARCIA
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 3620 22ND AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-5576
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Country | US
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Telephone | 239-316-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 22ND AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-5576
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Country | US
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Telephone | 239-316-9810
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IDALMYS GARCIA
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Credential |
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Telephone | 239-316-9810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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