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General NPI Number Information
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NPI Number | 1679516280
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Entity Type | Organization
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Legal Business Name | GARCIA FAMILY CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 53 MILL ST.
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City | BAYFIELD
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State | CO
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Zip | 81122
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Country | US
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Telephone | 970-884-2128
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Fax | 970-884-2092
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Provider Business Mailing Address
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Address Line | 316 HIGHWAY 6 AND 50
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City | FRUITA
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State | CO
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Zip | 81521-2642
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Country | US
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Telephone | 970-858-0544
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Fax | 970-858-7749
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS P GARCIA
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Credential |
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Telephone | 970-884-2128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CO 4962
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License Number State | CO
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