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General NPI Number Information
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NPI Number | 1679773444
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Entity Type | Individual
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Provider Name | NIDA GARCIA DAKSLA ANP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 3601 S 6TH AVE
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City | TUCSON
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State | AZ
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Zip | 85723-0001
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Country | US
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Telephone | 520-468-5593
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Fax | 520-468-5593
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Provider Business Mailing Address
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Address Line | 1136 E HAVEN LN
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City | TUCSON
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State | AZ
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Zip | 85719-1819
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Country | US
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Telephone | 520-468-5593
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Fax | 520-468-5593
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP4227
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704236232
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 17071
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License Number State | CA
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