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General NPI Number Information
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NPI Number | 1750971537
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Entity Type | Individual
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Provider Name | VICTORIA ALEJANDRA GARCIA
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 16629 N GREASEWOOD ST
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City | SURPRISE
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State | AZ
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Zip | 85378-3661
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Country | US
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Telephone | 928-503-3639
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Fax | 602-279-1431
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Provider Business Mailing Address
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Address Line | 4449 N 12TH ST
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City | PHOENIX
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State | AZ
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Zip | 85014-4520
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Country | US
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Telephone | 602-672-5274
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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 | 10625583
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License Number State | AZ
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