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General NPI Number Information
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NPI Number | 1720883978
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Entity Type | Individual
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Provider Name | JUAN R GARCIA LMSW
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Gender | Male
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 260 E 161ST ST FL 8
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City | BRONX
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State | NY
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Zip | 10451-3512
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Country | US
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Telephone | 347-979-6712
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CANFIELD AVE APT 821
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2054
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Country | US
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Telephone | 347-523-1484
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 123022
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License Number State | NY
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