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General NPI Number Information
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NPI Number | 1669068995
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Entity Type | Individual
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Provider Name | ALAN GARCIA APRN-RNP
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Gender | Male
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 5040 N 15TH AVE FL 3
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City | PHOENIX
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State | AZ
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Zip | 85015-3328
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Country | US
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Telephone | 602-277-5551
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Fax | 602-200-6004
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Provider Business Mailing Address
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Address Line | 5040 N 15TH AVE FL 3
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City | PHOENIX
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State | AZ
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Zip | 85015-3328
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Country | US
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Telephone | 602-277-5551
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Fax | 602-200-6004
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 250409
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License Number State | AZ
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