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General NPI Number Information
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NPI Number | 1760458608
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Entity Type | Individual
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Provider Name | DAGOBERTO J GARCES M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 1321 NW 14TH ST SUITE 302
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City | MIAMI
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State | FL
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Zip | 33125-1673
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Country | US
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Telephone | 305-324-8058
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Fax | 305-324-8035
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Provider Business Mailing Address
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Address Line | 9785 SW 64TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1435
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Country | US
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Telephone | 305-595-2629
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Fax | 305-595-3606
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME20664
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License Number State | FL
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