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General NPI Number Information
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NPI Number | 1679037667
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Entity Type | Individual
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Provider Name | CHRISTOPHER GARCIA LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 1721 SE 4TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2515
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Country | US
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Telephone | 954-764-7337
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Fax | 954-764-6283
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Provider Business Mailing Address
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Address Line | 16487 SW 28TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-5209
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Country | US
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Telephone | 954-993-6723
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3467
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License Number State | FL
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