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General NPI Number Information
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NPI Number | 1659388957
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Entity Type | Individual
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Provider Name | MARISOL A. GARCIA-HODGE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 315 N SAN SABA STE 960
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3100
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Country | US
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Telephone | 210-228-0705
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Fax | 210-472-0255
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Provider Business Mailing Address
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Address Line | 3066 E COMMERCE
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City | SAN ANTONIO
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State | TX
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Zip | 78220
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Country | US
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Telephone | 210-233-7063
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L4385
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License Number State | TX
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