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General NPI Number Information
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NPI Number | 1760441869
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Entity Type | Individual
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Provider Name | CARLOS M GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 185 MITYLENE PARK LN
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City | MONTGOMERY
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State | AL
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Zip | 36117-7302
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Country | US
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Telephone | 334-387-9940
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Fax | 343-870-9553
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Provider Business Mailing Address
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Address Line | 3081 GREEN FOREST CT
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City | MILLBROOK
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State | AL
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Zip | 36054-3927
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Country | US
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Telephone | 334-387-3994
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Fax | 334-387-0955
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 14853
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License Number State | AL
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