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General NPI Number Information
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NPI Number | 1679173447
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Entity Type | Individual
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Provider Name | ANTONIA MARIE GARCIA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 6262 N SWAN RD STE 160
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City | TUCSON
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State | AZ
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Zip | 85718-3636
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Country | US
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Telephone | 520-955-4064
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Fax | 520-254-6003
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Provider Business Mailing Address
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Address Line | 1031 E COPPER ST
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City | TUCSON
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State | AZ
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Zip | 85719-3006
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Country | US
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Telephone | 602-369-6327
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-005335
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License Number State | AZ
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