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General NPI Number Information
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NPI Number | 1669641437
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Entity Type | Organization
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Legal Business Name | RUDY M GARCIA, M.D. INC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1187 N MAIN ST STE 101
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City | SALINAS
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State | CA
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Zip | 93906-3683
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Country | US
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Telephone | 831-424-7172
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Fax | 831-424-6313
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Provider Business Mailing Address
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Address Line | 1187 N MAIN ST STE 101
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City | SALINAS
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State | CA
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Zip | 93906-3683
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Country | US
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Telephone | 831-424-7172
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Fax | 831-424-6313
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Authorized Official
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Title or Position | CEO
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Name | DR. RODOLFO M GARCIA
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Credential | M.D.
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Telephone | 831-424-7172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A39112
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License Number State | CA
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